7 results
Abnormal Serum TSH - Differential Diagnosis Algorithm
Increased TSH
 • Hypothyroidism
 • Sub-clinical Hypothyroidism
 • Recovery from
Differential Diagnosis Algorithm ... • 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 ... high; in some cases ... iodine uptake Hypothyroidism ... disease course #hypothyroid ... #hyperthyroid #
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid ... Function Tests ... symmetrically enlarged thyroid ... , high T4 +/- T3 ... #algorithm #diagnosis
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
goiter • Toxic diffuse ... • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... #causes #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
(low TSH, High T4 ... /T3) - Diagnostic ... concern for nodular thyroid ... workup choices AND management ... #Hyperthyroid #
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
inflammatory process caused ... phase: ↑ T4 and T3 ... levels, ↓ TSH ... (2) Hypothyroid ... #diagnosis #management