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diagnosis endocrinology differential causes treatment graves hyperthyroid hypothyroid htn hypertension hypothyroidism medications nephrology pharmacology secondary abdominal agents autoimmune bloating bradycardia
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 ... symmetrically enlarged thyroid ... ophthalmopathy → Graves' Disease ... → Radioactive Iodine ... #algorithm #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Radioactive iodine ... concern for nodular thyroid ... workup choices AND management
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... Uptake: • Graves disease ... trophoblastic disease ... • Exogenous thyroid ... Differential #Diagnosis #Algorithm
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
Graves' Disease ... 2 years • No thyroid ... cost Radioactive Iodine ... mendesthiagob #Graves #Disease ... #Treatment #Management
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... : • Graves disease ... uptake Hypothyroidism ... • Infantile hypothyroidism ... vary throughout disease
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... goiter (Graves' disease ... Toxicosis • Iodine ... TRAb) if Graves' disease ... Thionamide - Iodine
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Differentiation of Causes of Hyperthyroidism ... loading • Ectopic thyroid ... uptake: • Graves' disease ... • Excess thyroid-stimulating ... differential #diagnosis #hyperthyroidism
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Pharmaceutical Management ... of Hyperthyroidism ... • Teratogenic Iodine ... process in Graves' disease ... #ThyroidStorm #Management
Hyperthyroidism - Differential Diagnosis Algorithm High/Normal Radioiodine Uptake - Autoimmune Thyroid Disease: • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... Disease: • ... Grave's Disease ... Struma Ovarii #Hyperthyroidism
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