Graves' disease diagnostic approach: Difference between revisions
Jump to navigation
Jump to search
(Created page with "__NOTOC__ {{Graves' disease}} {{CMG}};{{AE}}{{MehdiP}} ==Overview== ==Diagnostic approach== *In the presence of relative clinical symptoms and signs for hyperthyroidism, a dia...") |
No edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}};{{AE}}{{MehdiP}} | {{CMG}};{{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
A diagnostic approach to evaluate a suspect patient with clinical symptoms of hyperthyrodism must be done in order to make an accurate diagnosis. | |||
==Diagnostic approach== | ==Diagnostic approach== | ||
*In the presence of relative clinical symptoms and signs for hyperthyroidism, a diagnostic approach must be taken to address accurate diagnosis and start the management. | *In the presence of relative clinical symptoms and signs for hyperthyroidism, a diagnostic approach must be taken to address accurate diagnosis and start the management. | ||
| Line 32: | Line 33: | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category: | [[Category:Endocrinology]] | ||
[[Category:Medicine]] | |||
[[Category:Primary care]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 18:43, 19 December 2016
|
Graves' disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Medical Therapy |
|
Case Studies |
|
Graves' disease diagnostic approach On the Web |
|
American Roentgen Ray Society Images of Graves' disease diagnostic approach |
|
Risk calculators and risk factors for Graves' disease diagnostic approach |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
A diagnostic approach to evaluate a suspect patient with clinical symptoms of hyperthyrodism must be done in order to make an accurate diagnosis.
Diagnostic approach
- In the presence of relative clinical symptoms and signs for hyperthyroidism, a diagnostic approach must be taken to address accurate diagnosis and start the management.
- Following algorithm summarizes the diagnostic approach to a suspected hyperthyroid patient.
| Suspected Graves' disease | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Measure serum TSH and free T4 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Normal TSH & free T4 | ↓ TSH & ↑ free T4 | ↓ TSH & Normal free T4 | Normal or ↑ TSH & ↑ free T4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Hyperthyroidism ruled out | Hyperthyrodism | Measure free T3 | TSH secreting pituitary tumor, Thyroid hormone resistance or Assay interference | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Measure TSH receptor antibodies | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ↑ free T3 | Normal free T3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Present | Absent | T3 Toxicosis | Sub-clinical Hyperthyrodism | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Graves' Disease | Assess radioiodine uptake obtain radionuclide scan or both | Evolving Graves' disease Evolving toxic nodular goiter Excess thyroid hormone intake Non thyroidal illness | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Homogeneous increased uptake | Patchy uptake or single nodule | Low or no uptake | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Graves' disease | Toxic nodular goiter | Subacute thyroiditis Excess thyroid hormone intake HCG secreting tumor | |||||||||||||||||||||||||||||||||||||||||||||||||||||