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Myoedema in Hypothyroidism on Physical Exam Hypothyroidism is a clinical syndrome resulting from the production, secretion or
by the delayed uptake ... Hypothyroidism #PhysicalExam
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 Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Radionucleotide Uptake ... Reduced uptake ... Generalized increased uptake ... Focal increased uptake ... #radionuclide #uptake
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
radioactive iodine uptake ... areas of increased uptake ... by suppressed uptake ... focal increased uptake ... by suppressed uptake
Chvostek Sign on Physical Exam Young man presented with history of fatigue, muscle cramps and features suggestive
following poor intake ... Update: See https
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 Graves Disease - Autoimmune Hyperthyroidism Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50 Diagnosis: 1 )
consider radioiodine uptake ... Methimazole/PTU (take ... Radioactive iodine (take
Hyperthyroidism - Differential Diagnosis Algorithm High/Normal Radioiodine Uptake - Autoimmune Thyroid Disease: • Grave's
Normal Radioiodine Uptake ... Low Radioiodine Uptake
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Decreased GI Uptake ... - Poor dietary intake
Thyroid Function Tests (TFTs) and Interpretation • TSH, Free T4, Free T3 • T3 Uptake •
Free T3 • T3 Uptake
Normal Hemodynamic Cardiac Parameters Central Venous Pressure Pulmonary Artery Wedge Pressure Cardiac Index Stroke Index Systemic Vascular
Delivery Oxygen Uptake
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Iodine Scan - High Uptake ... Iodine Scan - Low Uptake
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