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endocrinology diagnosis differential hypothyroidism iodine causes clinical deficiency hyperthyroid neck otolaryngology physicalexam video disease graves hypothyroid management autoimmune disorders highthyroid
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... Differential Diagnosis Algorithm ... Hypothyroidism ... Hasimoto’s • Radioactive ... @AmyChung #Thyroid
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... T3/Free T4) Radioactive ... , Multinodular goiter ... Radioactive Iodine ... • Exogenous thyroid
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Differentiation of Causes of Hyperthyroidism ... loading • Ectopic thyroid ... disease • Excess thyroid-stimulating ... Toxic multinodular goiter ... adenoma #rai #radioactive
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Toxic multinodular goiter ... Toxic uninodular goiter ... Toxic diffuse goiter ... scintigraphy with radioactive ... Methimazole and PTU) • Radioactive
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... Toxic multinodular goiter ... normal or increased radioactive ... normal or increased radioactive ... Hypothyroidism:
Thyroid Goiter on Physical Exam Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... by iodine deficiency ... #iodine #deficiency ... #video #neck #hypothyroidism
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 Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... symmetrically enlarged thyroid ... with TRAb → Radioactive ... Iodine Uptake & ... #algorithm #diagnosis
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
2 years • No thyroid ... 40%) • Low cost Radioactive ... Iodine: • Permanent ... hyperthyroidism ... and permanent hyperthyroidism
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Radioactive ... iodine scan – get ... concern for nodular thyroid
Graves Disease - Autoimmune Hyperthyroidism Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50 Diagnosis: 1 )
common cause of hyperthyroidism ... palpitations, Goiter ... (take time) • Radioactive ... iodine (take time ... Thyroidectomy (goiter
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