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diagnosis differential dermatology endocrinology alopecia generalized hairloss msk pruritus signs symptoms systemic abnormal adhesivecapsulitis alkaline alp amenorrhea anemia cardiology chronic
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
TSH, Low normal T4 ... Low TSH, normal T4 ... +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... /uremia TSH & T4 ... #secondary #systemic ... #causes
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
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... Hypothyroid ... Differential #Diagnosis #Algorithm
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... /uremia TSH & T4 ... : • Hypothyroidism ... #Pruritus #secondary ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... thyroiditis Secondary ... T3 • ↑ Free T4 ... #causes #diagnosis
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... thyroiditis that causes ... enough of it (hypothyroidism ... Diffuse infiltration ... Endocrinology #Diagnosis #Pathophysiology
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Tumor Increased T4 ... Decreased TSH • Hyperthyroidism ... Tumor Normal T4 ... • Non-Tumor Secondary ... #causes #endocrinology
Primary and Secondary Causes of Osteoporosis Primary osteoporosis - idiopathic juvenile osteoporosis - postmenopausal
Primary and Secondary ... Causes of Osteoporosis ... Primary osteoporosis ... syndrome) - hyperthyroidism ... plasmacytoma) - diffuse
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