8 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid ... high T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... → Radioactive Iodine ... #algorithm #diagnosis
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Differential Diagnosis Algorithm ... Pills • Cocaine ... hypertension) • Hypothyroidism ... #Secondary #HTN ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... Toxicosis • Iodine ... Thionamide - Iodine ... #causes #diagnosis
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
CNI, Alcohol, Cocaine ... Pseudoephedrine • Primary ... Renovascular • Primary ... : Thyroid disease ... Other low renin HTN
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
s syndrome • Primary ... Pheochromocytoma • Hyperthyroidism ... with compensatory HTN ... Drug (+): • Cocaine ... Differential #Diagnosis #causes
Hypothyroidism - Differential Diagnosis Algorithm
Central Hypothyroidism
 • Isolated TSH Deficiency
 • Panhypopituitarism
Thyroid Hormone Resistance
Iatrogenic
Primary Hypothyroidism
 -
Differential Diagnosis Algorithm ... Panhypopituitarism Thyroid ... Resistance Iatrogenic Primary ... • Severe Iodine ... endocrinology #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Differential Diagnosis Algorithm ... Consider secondary HTN ... nervous system (ie. cocaine ... : • Hyperthyroidism ... #Hypertension #HTN
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Endocrinologic: Hypothyroidism ... , Primary Hyperaldosteronism ... , Hyperthyroidism ... Sympathomimetic, Alcohol, Cocaine ... most pts have HTN