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diagnosis endocrinology differential hypothyroid causes signs thyroid alopecia dermatology hairloss hypothyroidism pathophysiology dequervains disorders focal hashimotos hashitoxicosis myopathy subacute workup
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Differential Diagnosis Algorithm ... Hypothyroidism ... Subclinical Hyperthyroidism ... Toxic Nodular • Thyroiditis ... #Hypothyroid #Hyperthyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
tissue • Subacute thyroiditis ... uptake • Painless thyroiditis ... • Hashimoto thyroiditis ... disease course #hypothyroid ... #hyperthyroid #
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
Hashitoxicosis ‘Leakage’ symptoms ... during the initial hyperthyroid ... enough of it (hypothyroidism ... Diffuse infiltration ... ‘Leakage’ symptoms
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... ↑Total T3/Free T4 ... Early Hashimoto thyroiditis ... hashitoxicosis) • Thyroiditis ... 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 ... workup choices AND management ... #Hyperthyroid #
Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like
- Symptoms and ... ophthalmoplegia) • ± Diffuse ... MSc @AmyChung #Hypothyroid ... #Hyperthyroid # ... Symptoms #Signs
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... associated with thyroiditis ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4 ... endocrinology #signs #symptoms
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... Endocrine • Hypothyroidism ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... Differential #Diagnosis #Algorithm
Hypothyroid Myopathy Very common (up to 80% ) in patients with hypothyroidism Pathophysiology: • T4 deficiency leads to
Hypothyroid Myopathy ... patients with hypothyroidism ... Pathophysiology: • T4 ... Rhabdomyolysis (rare) #Hypothyroid ... pathophysiology #signs #symptoms
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... Diagnosis and Management ... Differential #Diagnosis #algorithm ... endocrinology #hypothyroid ... #Management
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