Susan Oakley @susanoakley20
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Current inpatient Med/Surg nurse at UW Health TAC. I have been a nurse since 2017 and had the opportunity to be in UW Health's Nurse Residency program out of nursing school. I started as an inpatient nurse on a Med/Surg floor for the first two years. I transitioned to their Burn and Wound speciality clinic Sept 2019 and just recently transitioned back inpatient for more flexibility with my upcoming clinicals this fall for my MSN with a focus in FNP at Concordia.
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Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Evaluation of Hyperthyroidism ... Possibly Central Hypothyroidism ... → Subclinical Hyperthyroidism ... - T3 → Primary Hyperthyroidism ... #algorithm #diagnosis
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - ... Differential Diagnosis Algorithm ... lung disease or CHF ... lung disease #Chronic ... Differential #Diagnosis #Algorithm
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
GERD, Dysphagia, CHF ... Schema #Acute #Chronic ... #Differential #Algorithm
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
Hyperthyroidism ... Differential Diagnosis Algorithm ... Struma Ovarii #Hyperthyroidism ... Differential #Diagnosis #Algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... medical therapy; HF ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
processed grains - Chronic ... Lactation - Hyperthyroidism ... triggers Right HF ... Korsakoff Syndrome - Chronic ... output congestive HF
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
failure: - Hyperthyroidism ... disorders - Chronic
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... patients with chronic ... exacerbation of a chronic ... intermittent Chronic ... Hypercalcemia • Hypothyroidism
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
exercise Subacute to Chronic ... Endocrine: Hypo/hyperthyroidism ... daptomycin - Chronic