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diagnosis endocrinology differential algorithm graves causes hashimotos hashitoxicosis hypothyroid interpretation management signs symptoms thyroidstorm thyrotoxicosis beriberi coma criticalcare deficiency disease
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... Diagnosis Algorithm Hypothyroidism ... Subclinical Hyperthyroidism ... : • Graves’ ... #Hyperthyroid
Hashitoxicosis - Autoimmune thyroid disease overlap syndrome of Graves' and Hashimoto's disease Autoimmune thyroid disease overlap syndrome
overlap syndrome of Graves ... Hashimoto’s Disease → Hypothyroidism ... ’s Disease → Hypothyroidism ... develop spontaneous hypothyroidism ... Endocrinology #Pathophysiology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... Evaluation of Hyperthyroidism ... Possibly Central Hypothyroidism ... symmetrically enlarged thyroid ... ophthalmopathy → Graves
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Graves disease – ... you’ve diagnosed Graves ... #Hyperthyroidism ... #Hyperthyroid #
Hyperthyroidism and Thyrotoxicosis Interpretation Table - Autonomy (Graves) - Autonomy (toxic nodule) - Exogenous thyroid hormone
Hyperthyroidism ... - Autonomy (Graves ... - Exogenous thyroid ... @mghmedres #Hyperthyroidism ... endocrinology #graves
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
Graves' Disease ... : • Permanent hyperthyroidism ... and permanent hyperthyroidism ... mendesthiagob #Graves ... endocrinology #hyperthyroidism
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
Disease Hyperthyroidism ... : • Graves disease ... iodine uptake Hypothyroidism ... positive • Ablative hypothyroidism ... • Infantile hypothyroidism
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... hormone (hyperthyroidism ... enough of it (hypothyroidism ... is depleted and hypothyroidism ... Endocrinology #Diagnosis #Pathophysiology
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Differentiation of Causes of Hyperthyroidism ... loading • Ectopic thyroid ... increased uptake: • Graves ... disease • Excess thyroid-stimulating ... differential #diagnosis #hyperthyroidism
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... Manifestation of Hyperthyroidism ... Insomnia Primary Hyperthyroidism ... diffuse goiter (Graves ... antibodies (TRAb) if Graves
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