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diagnosis differential dermatology endocrinology generalized pruritus systemic abnormal amenorrhea dyslipidemia gynecology hyperlipidemia lipidprofiles obgyn primarycare signs symptoms tfts tsh
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Function Tests ... → Primary Hyperthyroidism ... → Central (secondary ... #algorithm #diagnosis ... endocrinology #TFTs #TSH #Interpretation
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... thyroiditis Secondary ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... #causes #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... Mellitus Liver Function ... #secondary #systemic ... #causes
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... Hypothyroid ... Differential #Diagnosis #Algorithm
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... • Hyperthyroidism ... #Pruritus #secondary ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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