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diagnosis endocrinology amenorrhea secondary dermatology generalized gynecology obgyn pruritus systemic abnormal breast discharge dyslipidemia gynecomastia hyperlipidemia hypothyroid hypothyroidism lipidprofiles lowthyroid
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... normal T4 → Possibly ... T4 +/- T3 → Primary ... #algorithm #diagnosis ... #Interpretation
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... ; in some cases, ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Diagnosis Algorithm ... Causes == Primary ... Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4 ... #causes #diagnosis ... #differential #
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Breast Discharge - Differential ... Diagnosis Algorithm ... • Primary Hypothyroidism ... #Diagnosis #Algorithm ... Endocrinology #Causes
Amenorrhea - Differential Diagnosis Algorithm Elevated FSH • Premature Ovarian Failure • Menopa use • Spontaneous Bleed With
Amenorrhea - Differential ... Diagnosis Algorithm ... Elevated FSH ... • Hyperthyroidism ... Challenge • Functional
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Diagnosis Algorithm ... , Decreased TSH ... • Hyperthyroidism ... #causes #endocrinology
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Diagnosis Algorithm ... Adenoma - Primary ... • ACTH • TSH ... Hypothyroidism) ... endocrinology #causes
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Lipid Profiles - Differential ... Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... • Hypothyroid
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