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diagnosis causes endocrinology secondary amenorrhea dermatology generalized gynecology hypothyroid obgyn pruritus systemic breast discharge dyslipidemia gynecomastia hyperlipidemia lipidprofiles primarycare tfts
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... normal T4 → Possibly ... • Low TSH, normal ... T4 +/- T3 → Primary ... TSH, high T4 +/
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
high; T4 normal ... free T4 normal; ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Abnormal Serum TSH ... - Differential ... Diagnosis Algorithm ... • Hypothyroidism ... #Hypothyroid #Hyperthyroid
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Breast Discharge - Differential ... Diagnosis Algorithm ... • Primary Hypothyroidism ... Breast #Discharge #Differential ... #Diagnosis #Algorithm
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Diagnosis Algorithm ... , Decreased TSH ... • Hyperthyroidism ... T4 and TSH •
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
- Differential ... Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... Causes • Hypothyroid
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Secondary Amenorrhea - Differential ... Diagnosis Algorithm ... estrogen: • Functional ... compression) • Hypothyroidism ... #Diagnosis #Algorithm
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Diagnosis Algorithm ... Etiology - High FSH ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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