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diagnosis differential causes endocrinology dermatology discharge generalized pruritus secondary systemic breast diarrhea galactorrhea interpretation lowthyroid nipple prolactinoma smallbowel tfts workup
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Evaluation of Hyperthyroidism ... T4 +/- T3 → Primary ... Hyperthyroidism ... → 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 ... Radioactive iodine ... #Hyperthyroidism ... #Hyperthyroid #
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Creatinine & BUN: • Chronic ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm ↑ TSH - Primary hypothyroidism ↑ ß-HCG - Pregnancy ↑ Creatinine
Differential Diagnosis Algorithm ... ↑ TSH - Primary ... hypothyroidism ... Creatinine - Chronic ... Differential #Diagnosis #Algorithm
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Prolactin + Normal TSH ... Hormone Intake • Chronic ... • Primary Hypothyroidism ... Differential #Diagnosis #Algorithm
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Creatinine & BUN: • Chronic ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Hypothyroidism - ... Central Hypothyroidism ... • Isolated TSH ... Resistance Iatrogenic Primary ... Hypothyroidism
Chronic Diarrhea - Differential Diagnosis Algorithm Steatorrhea - Maldigestive • Pancreatic Insufficiency - Primary
Differential Diagnosis Algorithm ... Insufficiency - Primary ... Syndrome • Hyperthyroid ... Neuropathv • Hyperthyroidism ... Differential #Diagnosis #Algorithm
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