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diagnosis endocrinology differential hypothyroid hypothyroidism signs causes dequervains hashimotos hashitoxicosis paralysis periodic subacute thyroiditis thyrotoxic tsh workup
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Differential Diagnosis Algorithm ... • Sub-clinical Hypothyroidism ... Recovery from Non-Thyroid ... Thyrotoxicosis • T3 ... #Hypothyroid #Hyperthyroid
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
Hashitoxicosis ‘Leakage’ symptoms ... during the initial hyperthyroid ... Diffuse infiltration ... ‘Leakage’ symptoms ... Endocrinology #Diagnosis #Pathophysiology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... low TSH, High T4/T3 ... concern for nodular thyroid ... workup choices AND management ... #Hyperthyroid #
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... endocrinology #signs #symptoms
Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like
- Symptoms and ... ophthalmoplegia) • ± Diffuse ... osculating over thyroid ... #Hyperthyroid # ... Symptoms #Signs
Thyrotoxic Periodic Paralysis - Illness Script • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
age 20-30 with hyperthyroidism ... and menses • Pathophysiology ... pump by excess thyroid ... hormone • Symptoms ... high fT4 or high T3
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... Diagnosis and Management ... obtain TPOAb Euthyroid ... endocrinology #hypothyroid ... #Management
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
• Malaise and symptoms ... • Malaise and symptoms ... phase: ↑ T4 and T3 ... levels, ↓ TSH (2) Hypothyroid ... #diagnosis #management
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