10 results
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Laboratory Evaluation ... high; in some cases ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Diagnosis Algorithm ... Primary Causes ... /uremia TSH & T4 ... : • Hypothyroidism ... #causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
and Focal) Differential ... Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm

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

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Anterior neck pain ... goiter • Toxic diffuse ... T3 • ↑ Free T4 ... #causes #diagnosis ... #differential #
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm

Scarring - Irreversible-biopsy required
 • Lupus erythematosus
 • Lichen
Diffuse Hair Loss ... (Alopecia) - Differential ... Diagnosis Algorithm ... contraceptives • Hyperthyroid ... #causes
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
localized, crampy, diffuse ... Peripheral Nervous System ... Mechanisms #Neurology #Differential ... #Diagnosis #Algorithm ... #Causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Causes - Differential ... have had prior evaluations ... Ovarian CA Diffuse ... Hypercalcemia • Hypothyroidism ... #Differential #
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Allopecia - Differential ... Traction alopecia Diffuse ... • Endocrine: Hypothyroidism ... • Laboratory evaluation ... Vitamin D levels Systemic
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
PMR) is a common systemic ... disease of unknown cause ... proximal muscle pain ... degenerative diseases, hypothyroidism ... normal and can help differentiate