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Laboratory Evaluation of Patients for Thyroid Disease
Hyperthyroidism:
• Graves disease - TSH low; free T4

TSH low; free T4 ... elevated and free T4 ... TSH low; free T4 ... TSH low; free T4 ... TSH low; free T4

Thyroid Function Pathway

Hypothyroidism is a very common condition! Here's a repost of the pathway that

TSH and a low T4 ... is because if T4 ... stimulate more T4 ... levothyroxine (T4

$Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4$

TSH, Low normal T4 ... Low TSH, normal T4 ... Low TSH, high T4 ... normal TSH, high T4

Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm

• Secondary Hyperthyroidism (↑↔TSH,

↑Total T3/Free T4 ... ↔Total T3/Free T4 ... ↑Total T3/Free T4 ... ↔Total T3/Free T4

Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating

triiodothyronine; T4

Thyroid Function Test Interpretation Table

TSH, Free T4, Free T3 and Associated Condition
#Diagnosis #Endocrinology #Hyperthyroid #Hypothyroid #Function

Table TSH, Free T4

Thyroid Function Tests (TFTs) and Interpretation

• TSH, Free T4, Free T3
• T3 Uptake
•

• TSH, Free T4

Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers
• Decreases sympathetic hyperactivity
• Partially blocks peripheral conversion

conversion of T4 ... conversion of T4

Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
• Adrenal Neoplasm
• Increased Extraglomerular Aromatase

Tumor Increased T4 ... Tumor Normal T4

Amiodarone Thyroid Complications
Amiodarone:
- iodine-rich, similar structure to T4, with half life up to 100d

similar structure to T4 ... - can prevent T4

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