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Evaluation of hyperthyroidism HY

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Rickettsia Rickettsii
Rickettsia Rickettsii

Evaluation of hyperthyroidism

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Evaluation of hyperthyroidism Measure TSH, free T3 & T4 Secondary hyperthyroidism • TSH high • Free T3 & T4 high Primary hyperthyroidism • TSH low • Free T3 & T4 high MRI of pituitary gland Signs of Graves disease (goiter + ophthalmopathy) ? Radioactive iodine uptake (+ scan) Yes Graves disease Diffuse pattern Nodular pattern • Toxic adenoma • Multinodular goiter • Thyroiditis • Iodine exposure • Exogenous hormone Low Measure serum thyroglobulin Low High High No

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Vaccines during pregnancy HY
Vaccines during pregnancy HYVaccines during pregnancy HY
Vaccines during pregnancy HYRickettsia Rickettsii
 
Urinary tract infection in children HY
Urinary tract infection in children HYUrinary tract infection in children HY
Urinary tract infection in children HYRickettsia Rickettsii
 
Uric acid kidney stones HY
Uric acid kidney stones HYUric acid kidney stones HY
Uric acid kidney stones HYRickettsia Rickettsii
 
Tourette syndrome HY
Tourette syndrome HYTourette syndrome HY
Tourette syndrome HYRickettsia Rickettsii
 
Systemic lupus erythematosus HY
Systemic lupus erythematosus HYSystemic lupus erythematosus HY
Systemic lupus erythematosus HYRickettsia Rickettsii
 

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Vaccines during pregnancy HY
Vaccines during pregnancy HYVaccines during pregnancy HY
Vaccines during pregnancy HYRickettsia Rickettsii
 
Urinary tract infection in children HY
Urinary tract infection in children HYUrinary tract infection in children HY
Urinary tract infection in children HYRickettsia Rickettsii
 
Uric acid kidney stones HY
Uric acid kidney stones HYUric acid kidney stones HY
Uric acid kidney stones HYRickettsia Rickettsii
 
Tourette syndrome HY
Tourette syndrome HYTourette syndrome HY
Tourette syndrome HYRickettsia Rickettsii
 
Systemic lupus erythematosus HY
Systemic lupus erythematosus HYSystemic lupus erythematosus HY
Systemic lupus erythematosus HYRickettsia Rickettsii
 
Suspected gastrinoma HY
Suspected gastrinoma HYSuspected gastrinoma HY
Suspected gastrinoma HYRickettsia Rickettsii
 
Spikes protocol for delivering serious news HY
Spikes protocol for delivering serious news HYSpikes protocol for delivering serious news HY
Spikes protocol for delivering serious news HYRickettsia Rickettsii
 
Side effects & risks of combination oral contraceptives HY
Side effects & risks of combination oral contraceptives HYSide effects & risks of combination oral contraceptives HY
Side effects & risks of combination oral contraceptives HYRickettsia Rickettsii
 
Scurvy (vitamin c deficiency) HY
Scurvy (vitamin c deficiency) HYScurvy (vitamin c deficiency) HY
Scurvy (vitamin c deficiency) HYRickettsia Rickettsii
 
Retroperitoneal abdominal organs HY
Retroperitoneal abdominal organs HYRetroperitoneal abdominal organs HY
Retroperitoneal abdominal organs HYRickettsia Rickettsii
 
Red blood cell transfusion thresholds HY
Red blood cell transfusion thresholds HYRed blood cell transfusion thresholds HY
Red blood cell transfusion thresholds HYRickettsia Rickettsii
 
Panic disorder HY
Panic disorder HYPanic disorder HY
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Normal postpartum lochia HY
Normal postpartum lochia HYNormal postpartum lochia HY
Normal postpartum lochia HYRickettsia Rickettsii
 
Noninvasive positive pressure ventilation HY
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Management of endometriosis HY
Management of endometriosis HYManagement of endometriosis HY
Management of endometriosis HYRickettsia Rickettsii
 
Lung cancer HY
Lung cancer HYLung cancer HY
Lung cancer HYRickettsia Rickettsii
 
Leukocyte adhesion deficiency HY
Leukocyte adhesion deficiency HYLeukocyte adhesion deficiency HY
Leukocyte adhesion deficiency HYRickettsia Rickettsii
 
Intrauterine fetal demise HY
Intrauterine fetal demise HYIntrauterine fetal demise HY
Intrauterine fetal demise HYRickettsia Rickettsii
 
Infectious mononucleosis HY
Infectious mononucleosis HYInfectious mononucleosis HY
Infectious mononucleosis HYRickettsia Rickettsii
 
Indications for urgent dialysis (aeiou) HY
Indications for urgent dialysis (aeiou) HYIndications for urgent dialysis (aeiou) HY
Indications for urgent dialysis (aeiou) HYRickettsia Rickettsii
 
Hemophilia A & B HY
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Evaluation of hyperthyroidism HY

  • 1. Evaluation of hyperthyroidism Measure TSH, free T3 & T4 Secondary hyperthyroidism • TSH high • Free T3 & T4 high Primary hyperthyroidism • TSH low • Free T3 & T4 high MRI of pituitary gland Signs of Graves disease (goiter + ophthalmopathy) ? Radioactive iodine uptake (+ scan) Yes Graves disease Diffuse pattern Nodular pattern • Toxic adenoma • Multinodular goiter • Thyroiditis • Iodine exposure • Exogenous hormone Low Measure serum thyroglobulin Low High High No