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diagnosis differential endocrinology causes htn hypertension hyperthyroid hypothyroid hypothyroidism cardiology disease disorders drugs graves interpretation lowthyroid medications nephrology pharmacology primary
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... Differential Diagnosis Algorithm ... Hypothyroidism ... Subclinical Hyperthyroidism ... @AmyChung #Thyroid
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... symmetrically enlarged thyroid ... → Radioactive Iodine ... T3 → Central (secondary ... #algorithm #diagnosis
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 ... thyroiditis Secondary ... Toxicosis • Iodine ... Thionamide - Iodine ... • Radioactive iodine
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Radioactive iodine ... concern for nodular thyroid ... workup choices AND management
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
2 years • No thyroid ... cost Radioactive Iodine ... : • Permanent hyperthyroidism ... and permanent hyperthyroidism ... Disease #Treatment #Management
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Pharmaceutical Management ... of Hyperthyroidism ... • Teratogenic Iodine ... accompany storm #Hyperthyroidism ... #ThyroidStorm #Management
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
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... Diagnosis and Management ... (Secondary or tertiary ... obtain TPOAb Euthyroid ... #hypothyroid #Management
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... nervous system (ie. cocaine ... Metabolic Causes: • Hyperthyroidism ... Differential #Diagnosis #Algorithm
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