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diagnosis endocrinology differential algorithm hyperthyroidism hypothyroid hypothyroidism interpretation management tfts clinical function pathophysiology tests thyrotoxicosis workup 5ts aafp alopecia anterior
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
inflammatory process caused ... after onset Causes ... phase: ↑ T4 and T3 ... levels, ↓ TSH ... (2) Hypothyroid
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 ... high; in some cases ... iodine uptake; thyroid ... disease course #hypothyroid ... #hyperthyroid #
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
thyrotoxicosis • T3 ... • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... hyperthyroidism #causes
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
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
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
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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