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diagnosis endocrinology differential causes hypothyroid hypothyroidism alopecia dermatology disorders drugs focal graves hairloss hashimotos hashitoxicosis interpretation lowthyroid medications pathophysiology pharmacology
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... Differential Diagnosis Algorithm ... Hypothyroidism ... @AmyChung #Thyroid ... #Hypothyroid #Hyperthyroid
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Radioactive iodine ... concern for nodular thyroid ... workup choices AND management ... #Hyperthyroid #
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... : • Graves disease ... vary throughout disease ... course #hypothyroid ... #hyperthyroid #
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
active Hashimoto’s disease ... during the initial hyperthyroid ... of Hashimoto’s disease ... hormone (hyperthyroidism ... Diffuse infiltration
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 Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... goiter • Toxic diffuse ... goiter (Graves' disease ... Toxicosis • Iodine ... TRAb) if Graves' disease
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
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
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... Endocrine • Hypothyroidism ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... Secondary to Skin Disease
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