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diagnosis endocrinology differential causes htn hypertension hypothyroidism cardiology drugs graves hyperthyroid hypothyroid interpretation lowthyroid medications nephrology pharmacology primary signs symptoms
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... ophthalmopathy → Graves' Disease ... → 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 ... Uptake: • Graves disease ... trophoblastic disease ... • Exogenous thyroid
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
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... goiter (Graves' disease ... thyroiditis Secondary ... Toxicosis • Iodine ... TRAb) if Graves' disease
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
Graves' Disease ... 2 years • No thyroid ... cost Radioactive Iodine ... mendesthiagob #Graves #Disease ... #Treatment #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
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Pharmaceutical Management ... of Hyperthyroidism ... • Teratogenic Iodine ... process in Graves' disease ... #ThyroidStorm #Management
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
Differential Diagnosis Algorithm ... Renal Parenchymal Diseases ... nervous system (ie. cocaine ... Metabolic Causes: • Hyperthyroidism ... Differential #Diagnosis #Algorithm
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Differential Diagnosis Algorithm ... Panhypopituitarism Thyroid ... - Infiltrative Disease ... - Congenital Thyroid ... • Severe Iodine
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