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diagnosis differential causes endocrinology dermatology alopecia hairloss pruritus systemic abnormal chronic diarrhea dyslipidemia focal gynecomastia hyperlipidemia hypothyroid hypothyroidism interpretation lipidprofiles
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
TSH, Low normal T4 ... Low TSH, normal T4 ... Low TSH, high T4 ... T3 → Central (secondary ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Differential Diagnosis Algorithm ... /uremia TSH & T4 ... : • Hypothyroidism ... Pruritus #primary #secondary
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... • Secondary ... ↑Total T3/Free T4 ... ↔Total T3/Free T4 ... Differential #Diagnosis #Algorithm
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 #
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
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
/uremia TSH & T4 ... : • Hypothyroidism ... • Hyperthyroidism ... #Pruritus #secondary ... #systemic #generalized
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... goiter • Toxic diffuse ... thyroiditis Secondary ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... to Hypothyroidism ... (Secondary or tertiary ... Differential #Diagnosis #algorithm ... endocrinology #hypothyroid
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Tumor Increased T4 ... Decreased TSH • Hyperthyroidism ... Tumor Normal T4 ... • Non-Tumor Secondary
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Causes • Hypothyroid ... Deficiency - Secondary ... Differential #Diagnosis #Algorithm
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