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diagnosis differential endocrinology secondary dermatology generalized pruritus systemic abnormal amenorrhea breast cardiology discharge dyslipidemia gynecology htn hyperlipidemia hypertension hypothyroid interpretation
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
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Thyroid Disease Hyperthyroidism ... high; in some cases ... uptake Hypothyroidism ... positive • Ablative hypothyroidism ... • Infantile hypothyroidism
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Causes == Primary ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... Manifestation of Hyperthyroidism ... • Insomnia Primary ... Hyperthyroidism ... #causes #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 #
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
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Prolactin + Normal TSH ... • Primary Hypothyroidism ... Differential #Diagnosis #Algorithm ... Endocrinology #Causes
Hypothyroidism - Differential Diagnosis Algorithm Central Hypothyroidism • Isolated TSH Deficiency • Panhypopituitarism Thyroid Hormone Resistance Iatrogenic Primary Hypothyroidism -
Hypothyroidism - ... Central Hypothyroidism ... • Isolated TSH ... Hypothyroidism ... endocrinology #causes
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... failure/uremia TSH ... & T4: • Hypothyroidism ... • Hyperthyroidism ... #causes
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Differential Diagnosis Algorithm ... Adenoma - Primary ... • ACTH • TSH ... Hypothyroidism) ... endocrinology #causes
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