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diagnosis differential endocrinology causes treatment hypothyroid graves hypothyroidism htn hypertension medications nephrology pharmacology secondary thyroidstorm tsh abdominal abnormal agents alopecia
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 #
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Differential Diagnosis Algorithm ... Increased TSH • Hypothyroidism ... • Sub-clinical Hypothyroidism ... Recovery from Non-Thyroid ... #Hypothyroid #Hyperthyroid
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
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 ... active Hashimoto’s 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
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
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