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diagnosis endocrinology differential alopecia dermatology hairloss hyperthyroidism hypothyroid dequervains focal hashimotos hashitoxicosis management pathophysiology signs subacute symptoms thyroiditis tsh workup
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 #
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
low TSH, High T4/T3 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... Hyperthyroidism #Hyperthyroid ... #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... hyperthyroidism #causes
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... thyroiditis that causes ... thyroid swelling ... Diffuse infiltration ... of the thyroid
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... DIFFUSE Scarring ... contraceptives • Hyperthyroid ... Differential #Diagnosis #Algorithm ... #causes
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... Differential Diagnosis Algorithm ... contraceptives • Hyperthyroid ... Psychological stress #Diffuse ... #causes
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
inflammatory process caused ... in viruses and thyroid ... after onset Causes ... phase: ↑ T4 and T3 ... levels, ↓ TSH (2) Hypothyroid
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