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328
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time
diagnosis
differential
causes
algorithm
endocrinology
clinical
management
hypothyroidism
physicalexam
pathophysiology
video
signs
nephrology
neurology
secondary
symptoms
cardiology
mnemonic
ophthalmology
pulmonary
Approach to
Thyroid
... normal T4 +/-
T3
... TSH, high T4 +/-
T3
... symmetrically enlarged
thyroid
... TSH, high T4 +/-
T3
Disease
Hyperthyroidism
... iodine uptake;
thyroid
... iodine uptake
Hypothyroidism
... positive • Ablative
hypothyroidism
... • Infantile
hypothyroidism
diagnostic workup of
hyperthyroidism
... (
T3
= triiodothyronine ... thyroxine; TSH =
thyroid
-stimulating ... #
hyperthyroidism
►
↑↔TSH, ↑Total
T3
... (↓TSH, ↔Total
T3
... (↓TSH, ↑Total
T3
... (↔TSH, ↔Total
T3
... • Exogenous
thyroid
Hyperthyroidism
... thyrotoxicosis •
T3
... TSH • ↑ Total
T3
... ↑ FT4 and/or ↑
T3
... : Reduce T4 ->
T3
Management of
Hyperthyroidism
... conversion of T4 to
T3
... conversion of T4 to
T3
... conversion ofT4 to
T3
... accompany storm #
Hyperthyroidism
Increased TSH •
Hypothyroidism
... • Sub-clinical
Hypothyroidism
... Recovery from Non-
Thyroid
... Thyrotoxicosis • Non-
Thyroid
... Thyrotoxicosis •
T3
Amiodarone
Thyroid
... conversion ofT4 to
T3
... can prevent T4/
T3
... pts w/ latent
thyroid
... Amiodarone Induced
Hypothyroidism
Hyperthyroidism
... low TSH, High T4/
T3
... concern for nodular
thyroid
... #
Hyperthyroidism
Thyroid
Function ... Pathway
Hypothyroidism
... is deficient in
hypothyroidism
... stimulate more T4/
T3
... /ambcarerx #
Thyroid
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