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diagnosis endocrinology algorithm differential hyperthyroidism hypothyroid hypothyroidism management pathophysiology clinical interpretation tfts workup causes evaluation hashimotos laboratory pharmacology primarycare rheumatology
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
Recovery from Non-Thyroid ... Thyrotoxicosis • Non-Thyroid ... Thyrotoxicosis • T3 ... Diagnosis #Algorithm #Hypothyroid ... #Hyperthyroid #
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... iodine uptake; thyroid ... iodine uptake; thyroid ... 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 ... Hyperthyroidism #Hyperthyroid
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
in viruses and thyroid ... phase: ↑ T4 and T3 ... levels, ↓ TSH ... (2) Hypothyroid ... phase: ↓ T4 and ↓ TSH
Thyroid Function Tests (TFTs) and Interpretation • TSH, Free T4, Free T3 • T3 Uptake •
Thyroid Function ... Interpretation • TSH ... Free T4, Free T3 ... • T3 Uptake ... @DharSaty #Thyroid
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
thyrotoxicosis • T3 ... • ↑ Total T3 ... or Thyrotropin (TSH ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... T4 +/- T3 → Subclinical ... T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... , high T4 +/- T3
Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
(T3 = triiodothyronine ... T4 = thyroxine; TSH ... = thyroid-stimulating
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 Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Hyperthyroidism (↑↔TSH ... , ↑Total T3/Free ... , ↔Total T3/Free ... , ↑Total T3/Free ... • Exogenous thyroid
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