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diagnosis differential endocrinology dermatology hypothyroid hypothyroidism management amenorrhea discharge generalized primarycare pruritus secondary systemic workup 5ts aafp abnormal alopecia anterior
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Abnormal Serum TSH ... Increased TSH ... Illness Decreased TSH ... Toxicosis #TSH ... #Hypothyroid #Hyperthyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Graves disease - TSH ... high; in some cases ... - TSH high; free ... disease course #hypothyroid ... #hyperthyroid #
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low ... • Low TSH, normal ... • Low TSH, high ... T4 +/- T3 → Primary ... #algorithm #diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... stimulators • TSH-producing ... Diagnosis: • ↓ Low TSH ... or Thyrotropin (TSH ... • Labs: - ↓ TSH
Hyperthyroidism - Differential Diagnosis Algorithm High/Normal Radioiodine Uptake - Autoimmune Thyroid Disease: • Grave's
Hyperthyroidism ... Positive anti-TSH ... Multinodular Goiter - TSH ... Excess: • TSH-Secreting ... endocrinology #causes
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... or tertiary) ↓TSH ... ↑TSH, ↓FT4 • ... obtain TPOAb Euthyroid ... endocrinology #hypothyroid
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... #Hyperthyroid #
Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
Algorithm for the ... T4 = thyroxine; TSH ... = thyroid-stimulating ... #hyperthyroidism ... #algorithm #diagnosis
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 Diagnosis of Primary Amenorrhea A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
Diagnosis of Primary ... (FSH = follicle-stimulating ... luteinizing hormone; TSH ... = thyroid-stimulating ... #Differential #Algorithm
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 Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
(↑↔TSH, ↑Total ... (↓TSH, ↔Total ... (↓TSH, ↑Total ... unlikely (↔TSH, ... • Exogenous thyroid
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