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diagnosis endocrinology differential algorithm causes hypertension hyperthyroid secondary graves hypothyroid indications interpretation management screening signs symptoms tfts treatment tsh
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Workup Algorithm ... Radioactive Iodine ... • Low iodine ... • Thyroiditis, Iodine ... • Exogenous thyroid
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... : Work-up similar ... critical illness, and ... ophthalmopathy → Graves' Disease ... → Radioactive Iodine
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Radioactive iodine ... concern for nodular thyroid ... affects diagnostic workup ... #Hyperthyroidism
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... increased radioactive iodine ... increased radioactive iodine ... decreased radioactive iodine ... decreased radioactive iodine
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter (Graves' disease ... Toxicosis • Iodine ... with radioactive iodine ... Thionamide - Iodine ... • Radioactive iodine
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
Graves' Disease ... 2 years • No thyroid ... cost Radioactive Iodine ... Surgery: • Quick and ... mendesthiagob #Graves #Disease
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Oral sodium loading ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... Causes #Screening #Workup ... #table
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... with previously stable ... Endocrinologic: Hypothyroidism ... Renal parenchymal disease ... #Hypertension #Workup
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