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diagnosis endocrinology dermatology generalized pruritus secondary systemic abnormal amenorrhea dyslipidemia gynecology hypercalcemia hyperlipidemia hypothyroid hypothyroidism interpretation lipidprofiles lowthyroid obgyn primarycare
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... Function Tests ... +/- T3 → Primary ... symmetrically enlarged thyroid ... #algorithm #diagnosis
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... high; in some cases ... disease course #hypothyroid ... #hyperthyroid # ... differential #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Diagnosis Algorithm ... Causes == Primary ... Mellitus Liver Function ... /uremia TSH & T4 ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... 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 ... Diagnosis Algorithm ... Mellitus Liver Function ... /uremia TSH & T4 ... #causes
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Lipid Profiles - Differential ... Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... • Hypothyroid
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis ... Algorithm Central ... Panhypopituitarism Thyroid ... Resistance Iatrogenic Primary ... endocrinology #causes
Causes of Hypercalcemia Parathyroid gland structure-related • Primary hyperparathyroidism • Parathyroid adenoma • Parathyroid hyperplasia • Parathyroid
structure-related • Primary ... Parathyroid gland function-related ... vitamin A intake • Hyperthyroidism ... Osteolytic metastases: thyroid ... endocrinology #diagnosis #differential
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... Amenorrhea - Differential ... Diagnosis Algorithm ... Hypothalamic: • Functional ... Hyperprolactinemia • Hypothyroidism
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