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diagnosis differential dermatology amenorrhea endocrinology generalized gynecology obgyn primary pruritus systemic alopecia focal hairloss signs symptoms tfts thyroid
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... , high T4 +/- T3 ... → Central (secondary ... #algorithm #diagnosis ... #Interpretation
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... thyroiditis Secondary ... • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... #causes #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Mellitus Liver Function ... failure/uremia TSH ... Pruritus #primary #secondary ... #causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... decalvans - Secondary ... #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Mellitus Liver Function ... failure/uremia TSH ... • Hyperthyroidism ... #Pruritus #secondary ... #causes
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... compression) • Hypothyroidism ... #Causes #OBGyn
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... Etiology - High FSH ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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