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diagnosis differential dermatology endocrinology amenorrhea generalized gynecology obgyn primary pruritus systemic alopecia focal gynecomastia hairloss signs symptoms tfts thyroid
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... normal T4 → Possibly ... → Central (secondary ... #algorithm #diagnosis ... #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism ... Pruritus #primary #secondary ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... thyroiditis Secondary ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4 ... #causes #diagnosis
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism ... #Pruritus #secondary ... #causes
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
, Decreased TSH ... • Hyperthyroidism ... Tumor Normal T4 ... • Non-Tumor Secondary ... #causes #endocrinology
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... decalvans - Secondary ... #causes
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm Absence of menses for more than 3 cycles or
Causes of Secondary ... Differential Diagnosis Algorithm ... estrogen: • Functional ... compression) • Hypothyroidism ... #Causes #OBGyn
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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