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diagnosis causes differential dermatology endocrinology generalized pruritus systemic alkaline amenorrhea gynecology hepatology hyophosphatasia obgyn phosphatase signs symptoms tfts thyroid tsh
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... T4 +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis ... endocrinology #TFTs #TSH #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... #secondary #systemic
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Mellitus Liver Function ... /uremia TSH & T4 ... : • Hypothyroidism ... #Pruritus #secondary
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... thyroiditis Secondary ... Diagnosis: • ↓ Low ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
in 1923 Low ALP ... pain • loss of secondary ... severe mobility/functional ... Wilson's disease • hypothyroidism ... , ↓ALP → Low
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... Etiology - High FSH, Low ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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