14 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid Function ... +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis ... #endocrinology
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm

 • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... • Secondary ... ↑Total T3/Free T4 ... Differential #Diagnosis #Algorithm ... #endocrinology
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Differential Diagnosis Algorithm ... Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... #secondary #systemic
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... ) - Diagnostic Algorithm ... #Hyperthyroid # ... #Workup #Endocrinology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm

Blood Glucose:
 • Diabetes Mellitus
Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... #Pruritus #secondary
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... thyroiditis Secondary ... T3 • ↑ Free T4 ... #differential #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 ... areata • Secondary
Hypothyroid Myopathy
Very common (up to 80% ) in patients with hypothyroidism
Pathophysiology:
 • T4 deficiency leads to
Hypothyroid Myopathy ... patients with hypothyroidism ... Pathophysiology: • T4 ... impairs musde function ... signs #symptoms #endocrinology
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework

Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... (Secondary or tertiary ... Differential #Diagnosis #algorithm ... #endocrinology ... #hypothyroid #Management
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... OR secondary AI ... normal adrenal function ... Insufficiency #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology