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diagnosis differential dermatology endocrinology secondary alopecia hairloss primary pruritus systemic cardiology dyslipidemia focal gynecomastia htn hyperlipidemia hypertension hypothyroid interpretation lipidprofiles
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
T4 → Possibly Central ... : Work-up similar ... Low TSH, high T4 ... TSH, high T4 +/ ... #algorithm #diagnosis
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... high; in some cases ... iodine uptake Hypothyroidism ... disease course #hypothyroid ... #hyperthyroid #
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 - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Differential Diagnosis Algorithm ... Systemic and Primary Causes ... /uremia TSH & T4 ... #causes
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... Endocrine • Hypothyroidism ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
/uremia TSH & T4 ... : • Hypothyroidism ... • Hyperthyroidism ... secondary #systemic #generalized ... #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
Differential Diagnosis Algorithm ... Tumor Increased T4 ... Decreased TSH • Hyperthyroidism ... T4 and TSH • ... #causes #endocrinology
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... Mislabelled - Repeatedly normal ... taken at home, work ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
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