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diagnosis differential endocrinology nephrology hyponatremia secondary dermatology disease cardiology generalized hypertension management obgyn pruritus signs sodium symptoms systemic table abnormal
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Evaluation of Hyperthyroidism ... high T4 +/- T3 → Primary ... Hyperthyroidism ... ophthalmopathy → Graves ... #algorithm #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... TSH & T4: • Hypothyroidism ... • Hyperthyroidism ... #causes
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Differentiation of Causes ... of Hyperthyroidism ... thyroxine • Iodine loading ... increased uptake: • Graves ... differential #diagnosis #hyperthyroidism
Graves Disease - Autoimmune Hyperthyroidism Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50 Diagnosis: 1 )
Graves Disease - ... Epidemiology: Most common cause ... Diagnosis: 1 ) Primary ... hyperthyroidism ... @UTSWIMchief #Graves
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... angiography • Primary ... Oral sodium loading ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... Differential Diagnosis Algorithm ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Hyperthyroidism - Differential Diagnosis Algorithm High/Normal Radioiodine Uptake - Autoimmune Thyroid Disease: • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... Disease: • Grave's ... Struma Ovarii #Hyperthyroidism ... endocrinology #causes
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Differential Diagnosis Algorithm ... 100 mOsm/kg) • Primary ... Water and solute loading ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Differential Diagnosis Algorithm ... a mass as the cause ... • Myasthenia Gravis ... Ophthalmopathy • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... diffuse goiter (Graves ... antibodies (TRAb) if Graves ... #causes #diagnosis
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