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diagnosis endocrinology differential signs symptoms alopecia dermatology hairloss hyperthyroidism adhesivecapsulitis chronic complications ddxof dequervains dka endo focal frozenshoulder hashimotos hashitoxicosis
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... iodine uptake; thyroid ... disease course #hypothyroid ... #hyperthyroid #
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
(low TSH, High T4 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... Hyperthyroidism #Hyperthyroid ... #Diagnosis #Algorithm
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 ... thyroid swelling ... Diffuse infiltration ... Endocrinology #Diagnosis #Pathophysiology
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... T3 • ↑ Free T4 ... suspected • Thyroid ... Glucocorticoids: Reduce T4 ... hyperthyroidism #causes
Pathyophysiology - hyperglycemic crises in patients with diabetes Key signs/symptoms of HHS/DKA: Both: Polyuria, polydipsia, weight loss,
Pathyophysiology ... hyperglycemic crises ... course (<24h), N/V, diffuse ... seizure) #Pathophys #EM
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... DIFFUSE Scarring ... contraceptives • Hyperthyroid ... Differential #Diagnosis #Algorithm ... #causes
Chronic Hypertensive Retinopathy: Pathogenesis and clinical findings Ophthalmic Artery Hypertension Stage 1: Mild/vasoconstrictive • Acute and chronic vasospasm
chronic vasospasm -> Diffuse ... hyalinization causes ... resulting in a diffuse ... atrophic areas in the choroid ... #Retinopathy #pathophysiology
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
inflammatory process caused ... after onset Causes ... Thyrotoxic phase: ↑ T4 ... levels, ↓ TSH (2) Hypothyroid ... phase: ↓ T4 and
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... Differential Diagnosis Algorithm ... contraceptives • Hyperthyroid ... Psychological stress #Diffuse ... #causes
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings • Primary (Idiopathic): Unknown etiology, but associated
diabetes mellitus, thyroid ... a stroke that caused ... Shoulder pain: Diffuse ... FrozenShoulder #pathophysiology
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