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diagnosis differential causes endocrinology amenorrhea dermatology gynecology obgyn adrenal generalized hematology hypothyroid insufficiency nephrology pruritus signs symptoms systemic workup acth
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
normal T4 → Possibly ... • Low TSH, normal ... T4 +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... iodine uptake Hypothyroidism ... normal; T3 low; ... disease course #hypothyroid ... #hyperthyroid #
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... • Secondary ... Graves disease • Low ... Iodine Scan - Low ... 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 #
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... /uremia TSH & T4 ... : • Hypothyroidism ... • Hyperthyroidism ... #secondary #systemic
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Abnormal Lipid Profiles ... Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... Causes • Hypothyroid
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
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... thyroiditis Secondary ... Diagnosis: • ↓ Low ... T3 • ↑ Free T4
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... Mislabelled - Repeatedly normal ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm Primary Amenorrhea - No onset of menarche
Causes of Primary ... Differential Diagnosis Algorithm ... Primary Amenorrhea ... • Ovarian - Normal ... Differential #Diagnosis #Algorithm
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