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diagnosis differential causes dermatology endocrinology hypopigmentation pruritus secondary skin systemic amenorrhea cardiology cardiomyopathies cardiomyopathy chronic diarrhea gynecology hyperpigmentation interpretation obgyn
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
normal T4 → Possibly ... T4 +/- T3 → Subclinical ... T4 +/- T3 → Primary ... , high T4 +/- T3 ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Differential Diagnosis Algorithm ... 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 #
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... T3 • ↑ Free T4 ... or Thyrotropin (TSH ... Glucocorticoids: Reduce T4
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism ... secondary #systemic #generalized
Skin Hypopigmentation - Differential Diagnosis Algorithm Diffuse Congenital - Generalized hypopigmentation of hair, eyes, skin • Phenylketonuria
Diffuse Congenital ... - Generalized hypopigmentation ... • Piebaldism Diffuse ... sclerosis (white "ash ... Hypopigmentation #disorders
Disorders of Pigmentations - Hypopigmentation and Hyperpigmentation - Differential Diagnosis Algorithm HYPOPIGMENTATION Diffuse Congenital - Generalized hypopigmentation of
Disorders of Pigmentations ... Differential Diagnosis Algorithm ... Congenital - Generalized ... sclerosis (white "ash ... Hyperpigmentation #disorders
Chronic Diarrhea - Differential Diagnosis Algorithm Steatorrhea - Maldigestive • Pancreatic Insufficiency - Primary
Differential Diagnosis Algorithm ... Insufficiency - Primary ... Syndrome • Hyperthyroid ... Microscopic Colitis Disordered ... Neuropathv • Hyperthyroidism
Cardiomyopathies Manifestations of cardiomyopathy (CM) range from microscopic alterations in cardiac myocytes to fulminant Heart Failure
Primary Cardiomyopathies ... number & variety of generalized ... systemic (multiorgan) disorders ... Endocrine (DM, Hyper/hypothyroidism ... Neurofibromatosis, TS
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Differential Diagnosis Algorithm ... Etiology - High FSH ... Functional (e.g. eating disorder ... Hyperprolactinemia • Hypothyroidism
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