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diagnosis differential endocrinology dermatology generalized pruritus systemic abnormal amenorrhea cardiology dyslipidemia gynecology htn hyperlipidemia hypertension hypothyroidism interpretation lipidprofiles lowthyroid obgyn
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low ... T4 +/- T3 → Primary ... → Radioactive Iodine ... T3 → Central (secondary ... #algorithm #diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... thyroiditis Secondary ... Diagnosis: • ↓ Low TSH ... or Thyrotropin (TSH ... #causes #diagnosis
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Causes == Primary ... failure/uremia TSH ... #secondary #systemic ... #causes
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Differential Diagnosis Algorithm ... Pills • Cocaine ... hypertension) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... Hypothyroid ... Differential #Diagnosis #Algorithm
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... failure/uremia TSH ... • Hyperthyroidism ... #Pruritus #secondary ... #causes
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
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm No onset of menarche by age 16 with secondary
Causes of Primary ... by age 16 with secondary ... age 14 without secondary ... Etiology - High FSH ... Hyperprolactinemia • Hypothyroidism
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