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diagnosis endocrinology differential hyperthyroidism hypothyroid dermatology interpretation pruritus secondary systemic tfts amenorrhea comparison dequervains freet3 freet4 gynecology hypothyroidism labs lowthyroid
Thyroid Function Test Interpretation Table TSH, Free T4, Free T3 and Associated Condition #Diagnosis #Endocrinology #Hyperthyroid #Hypothyroid #Function
Thyroid Function ... Interpretation Table TSH ... Free T4, Free T3 ... #Hypothyroid #Function ... Comparison #Table #TSH
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Differential Diagnosis Algorithm ... Recovery from Non-Thyroid ... Thyrotoxicosis • Non-Thyroid ... Thyrotoxicosis • T3 ... #Hypothyroid #Hyperthyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... iodine uptake; thyroid ... disease course #hypothyroid ... #hyperthyroid #
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... Function Tests ... T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... Hyperthyroidism #algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... hyperthyroidism #causes
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism (low TSH ... , High T4/T3) - ... Diagnostic Algorithm ... concern for nodular thyroid ... Hyperthyroidism #Hyperthyroid
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Causes == Primary ... Mellitus Liver Function ... failure/uremia TSH ... #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... failure/uremia TSH ... secondary #systemic #generalized ... #causes
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... Etiology - High FSH ... Hypothalamic: • Functional ... Hypothyroidism #Primary
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis Algorithm ... Hypothyroidism • Isolated TSH ... Panhypopituitarism Thyroid ... Resistance Iatrogenic Primary ... endocrinology #causes
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