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differential endocrinology dermatology alopecia hairloss hypothyroid pruritus secondary systemic tsh focal hashimotos hashitoxicosis interpretation pathophysiology primary signs symptoms tfts workup
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
- Differential Diagnosis ... Algorithm Increased ... TSH • Hypothyroidism ... Thyrotoxicosis • T3 ... #Algorithm #Hypothyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... high; in some cases ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... Function Tests ... normal T4 +/- T3 ... symmetrically enlarged thyroid ... #algorithm #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
low TSH, High T4/T3 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... #Hyperthyroid # ... Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... Diagnosis: ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... #causes #diagnosis
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... thyroiditis that causes ... hormone (hyperthyroidism ... Diffuse infiltration ... Endocrinology #Diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Algorithm - Systemic ... and Primary Causes ... Mellitus Liver Function ... #Algorithm #causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
) Differential Diagnosis ... Algorithm DIFFUSE ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #Algorithm #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
- Differential Diagnosis ... Algorithm Blood ... Mellitus Liver Function ... secondary #systemic #generalized ... #Algorithm #causes
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... - Differential Diagnosis ... Algorithm Scarring ... contraceptives • Hyperthyroid ... #Algorithm #causes
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