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diagnosis causes differential endocrinology dermatology secondary generalized hypothyroid interpretation pruritus tfts tsh chronic disease dyspnea freet3 freet4 hypothermia incomplete kawasaki
Thyroid Function Test Interpretation Table TSH, Free T4, Free T3 and Associated Condition #Diagnosis #Endocrinology #Hyperthyroid #Hypothyroid #Function
Thyroid Function ... Table TSH, Free T4 ... Endocrinology #Hyperthyroid ... #Hypothyroid #Function ... #Tests #TFTs #Comparison
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... TSH, Low normal T4 ... Low TSH, normal T4 ... Low TSH, high T4 ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Mellitus Liver Function ... renal failure/uremia ... TSH & T4: • ... Hypothyroidism ... • Hyperthyroidism
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... ) - Diagnostic Algorithm ... #Hyperthyroidism ... #Hyperthyroid #
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Mellitus Liver Function ... renal failure/uremia ... TSH & T4: • ... Hypothyroidism ... Pruritus #secondary #systemic
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 ... Rhabdomyolysis (rare) #Hypothyroid
Nail Disorders secondary to Systemic Diseases Nail Fold Abnormality • SLE • Scleroderma • Dermatomyositis Koilonychia - Spoon-shaped
Disorders secondary to Systemic ... Iron deficiency anemia ... Separating from Bed • Hyperthyroidism ... Grooves • Any systemic ... Differential #Diagnosis #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Differential Diagnosis Algorithm ... Myocardial • Systolic ... Pulmonary - Other • Anemia ... Deconditioning • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Causes of Hypothermia - Differential Diagnosis Algorithm Environmental: • Immersion • Non-lmmersion Body Heat Loss: • Drugs/ Toxins
Differential Diagnosis Algorithm ... Generation • Hypothyroidism ... Central Nervous System ... Insufficiency • Uremia ... Differential #Diagnosis #Algorithm
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
if evidence of systemic ... Albumin ≤3.0 g/dL, anemia ... purposes of this algorithm ... , decreased LV function ... Disease #Incomplete #Algorithm
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