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diagnosis differential endocrinology nephrology secondary hyponatremia obgyn workup adrenal cardiology dermatology hyperthyroid hypothyroidism insufficiency iodine management obstetrics physicalexam signs symptoms
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... Differential Diagnosis Algorithm ... Pills • Cocaine ... ) • Hypothyroidism ... Differential #Diagnosis #Algorithm
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... Differential Diagnosis Algorithm ... Hypothyroidism ... Subclinical Hyperthyroidism ... @AmyChung #Thyroid
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
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
s syndrome • Primary ... Pheochromocytoma • Hyperthyroidism ... Scleroderma renal crises ... Drug (+): • Cocaine ... Differential #Diagnosis #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... Toxicosis • Iodine ... psychosis - CHF - Hypotension ... #causes #diagnosis
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... nervous system (ie. cocaine ... : • Hyperthyroidism ... Differential #Diagnosis #Algorithm
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 ... differential #diagnosis #hyperthyroidism
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... high; in some cases ... uptake Hypothyroidism ... positive • Ablative hypothyroidism ... • Infantile hypothyroidism
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... Radioactive Iodine ... disease • Low iodine ... • Exogenous thyroid ... Differential #Diagnosis #Algorithm
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
of Hypertension ... CNI, Alcohol, Cocaine ... Renovascular • Primary ... : Thyroid disease ... #Hypertension #
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