11 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid Function ... T4 → Possibly Central ... T3 → Central (secondary ... #algorithm #diagnosis ... #endocrinology
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... high; in some cases ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis #endocrinology
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Systemic and Primary Causes ... Mellitus Liver Function ... /uremia TSH & T4 ... Pruritus #primary #secondary ... #causes
Abnormal Lipid Profiles - Differential Diagnosis Algorithm

Increased Cholesterol and Triglycerides 
 - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Hypothyroid ... #Dyslipidemia #Abnormal
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Tumor Increased T4 ... Decreased TSH • Hyperthyroidism ... T4 and TSH • ... • Non-Tumor Secondary ... #causes #endocrinology
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... decalvans - Secondary ... #causes
Hypothyroid Myopathy
Very common (up to 80% ) in patients with hypothyroidism
Pathophysiology:
 • T4 deficiency leads to
patients with hypothyroidism ... Pathophysiology: • T4 ... deficiency leads to abnormal ... impairs musde function ... signs #symptoms #endocrinology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm

Blood Glucose:
 • Diabetes Mellitus
Liver Function Tests/Enzymes:
Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... #Pruritus #secondary ... #causes
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
goiter • Toxic diffuse ... thyroiditis Secondary ... T3 • ↑ Free T4 ... #causes #diagnosis ... #differential #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... this indicates normal ... adrenal function ... Stimulation #Test #Endocrinology