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diagnosis differential endocrinology dermatology pruritus secondary systemic breast ddxof discharge hematuria highthyroid hypothyroidism interpretation lowthyroid macroscopic management pituitary pmr polymyalgia
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... • Low TSH, Low ... T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Pruritus - Generalized ... Differential Diagnosis Algorithm ... Causes == Primary ... failure/uremia TSH ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... Manifestation of Hyperthyroidism ... • Insomnia Primary ... Hyperthyroidism ... #causes #diagnosis
Hyperthyroidism - Differential Diagnosis Algorithm High/Normal Radioiodine Uptake - Autoimmune Thyroid Disease: • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... Struma Ovarii #Hyperthyroidism ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... failure/uremia TSH ... • Hyperthyroidism ... secondary #systemic #generalized ... #causes
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... + Normal/ Low TSH ... • Primary Hypothyroidism ... Differential #Diagnosis #Algorithm ... Endocrinology #Causes
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis Algorithm ... • Isolated TSH ... Panhypopituitarism Thyroid ... Resistance Iatrogenic Primary ... endocrinology #causes
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... throughout (upper urinary ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Differential Diagnosis Algorithm ... Adenoma - Primary ... • ACTH • TSH ... Hypothyroidism) ... endocrinology #causes
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary WHAT? • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
disease of unknown cause ... degenerative diseases, hypothyroidism ... DIAGNOSIS: • PMR primarily ... creatine kinase, and thyroid-stimulating ... hormone (TSH) levels
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