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diagnosis causes dermatology endocrinology generalized hyperthyroidism pruritus secondary erythematosus interpretation lupus rheumatology signs sle symptoms tfts
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... Function Tests ... T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... Hyperthyroidism #algorithm
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Diagnosis Algorithm ... Mellitus Liver Function ... failure/uremia TSH ... & T4: • Hypothyroidism ... #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4 ... causes #diagnosis #differential
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 ... Pruritus #secondary #systemic
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... disorders (e.g. thyroid ... the context of primary ... pneumonitis • Diffuse ... > 1:80 • CBC, TSH
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