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diagnosis endocrinology differential hypothyroid causes hypothyroidism signs alopecia dequervains dermatology hairloss hashimotos hashitoxicosis pathophysiology subacute thyroiditis 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
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... scan with focal ... iodine uptake Hypothyroidism ... disease course #hypothyroid ... #hyperthyroid #
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 #
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 ... hormone (hyperthyroidism ... Diffuse infiltration ... ‘Leakage’ symptoms
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
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Diagnosis Algorithm ... Endocrine • Hypothyroidism ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... Differential #Diagnosis #Algorithm
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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