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diagnosis causes dermatology endocrinology alopecia generalized hairloss pruritus secondary signs systemic abdominal chronic diplopia doublevision focal gastroenterology hypothyroid myopathy ophthalmology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... TSH, Low normal T4 ... Low TSH, normal T4 ... #algorithm #diagnosis ... endocrinology #TFTs #TSH #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Diagnosis Algorithm ... Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... • Hyperthyroidism
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
and Focal) Differential ... Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... #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 ... impairs musde function ... pathophysiology #signs #symptoms
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4 ... causes #diagnosis #differential ... endocrinology #signs #symptoms
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Diagnosis Algorithm ... Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... • Hyperthyroidism
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... (Alopecia) - Differential ... Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... Diagnosis Algorithm ... • Neurologic symptoms ... Dislocation • Functional ... Ophthalmopathy • Hyperthyroidism
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... changes • Urinary symptoms ... cholecystitis • Functional ... Ovarian CA Diffuse ... Hypercalcemia • Hypothyroidism
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