Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular thyroid disease! Remember – contraindicated if pregnant or breast feeding! Graves disease – TRAB 97-99% sensitive and specific, so if positive, you’ve diagnosed Graves disease! Key teaching point: Check pregnancy test immediately because pregnancy affects diagnostic workup choices AND management options (see below)! #Hyperthyroidism #Hyperthyroid #Diagnosis #Algorithm #Workup #Endocrinology