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diagnosis causes differential dermatology endocrinology generalized pruritus secondary systemic signs tfts thyroid
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
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4 ... endocrinology #signs #symptoms
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 ... • Hyperthyroidism
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