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diagnosis differential causes hypertension endocrinology workup cardiology early hypothyroidism indications interpretation lowthyroid nephrology signs symptoms tfts tsh young
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... high T4 +/- T3 → Primary ... → Radioactive Iodine ... T3 → Central (secondary ... #algorithm #diagnosis
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... Pills • Cocaine ... #Secondary #HTN ... Differential #Diagnosis #Algorithm
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... • Secondary ... Radioactive Iodine ... • Exogenous thyroid ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... thyroiditis Secondary ... Toxicosis • Iodine ... Thionamide - Iodine
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... CNI, Alcohol, Cocaine ... Renovascular • Primary ... Endocrine causes: Thyroid ... Other low renin HTN
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... HTN • Onset < ... nervous system (ie. cocaine ... Metabolic Causes: • Hyperthyroidism ... #Hypertension #HTN
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis Algorithm ... Panhypopituitarism Thyroid ... Resistance Iatrogenic Primary ... - Congenital Thyroid ... • Severe Iodine
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... Endocrinologic: Hypothyroidism ... , Primary Hyperaldosteronism ... , Hyperthyroidism ... most pts have HTN
Approach to a young patient with hypertension General Evaluation - History and Examination, Basic chemistries (K, eGFR),
↑AIdo/↑PRA: Secondary ... HA (malignant HTN ... ↑AIdo/↓PRA: Primary ... Consider sleep apnea, thyroid ... #workup #algorithm
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