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diagnosis differential endocrinology secondary dermatology generalized pruritus systemic abnormal amenorrhea breast cardiology discharge dyslipidemia gynecology htn hyperlipidemia hypertension hypothyroid hypothyroidism
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... high; in some cases ... uptake Hypothyroidism ... 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 ... T4 +/- T3 → Primary ... → Radioactive Iodine ... #algorithm #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... ) - Diagnostic Algorithm ... Radioactive iodine ... #Hyperthyroid #
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... stimulators • TSH-producing ... or Thyrotropin (TSH ... • Labs: - ↓ TSH ... #causes #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... failure/uremia TSH ... • Hyperthyroidism ... #causes
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Prolactin + Normal TSH ... • Primary Hypothyroidism ... Differential #Diagnosis #Algorithm ... Endocrinology #Causes
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Differential Diagnosis Algorithm ... Adenoma - Primary ... • ACTH • TSH ... Hypothyroidism) ... endocrinology #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... Pills • Cocaine ... aldosteronism) • Hyperthyroidism ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis Algorithm ... • Isolated TSH ... Resistance Iatrogenic Primary ... • Severe Iodine ... endocrinology #causes
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... • Hypothyroid ... Differential #Diagnosis #Algorithm
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