Sandbox:ddx graves: Difference between revisions

VisualWikitext

Revision as of 18:06, 19 December 2016

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

@@ Line 1: / Line 1: @@
 {{familytree/start}}
-{{familytree | | | | | | | | | | | | | | | A01 | | | | | |A01=Suspected Graves' disease}}
+{{familytree | | | | | | | | | | | | | | A01 | | | | | |A01=Suspected Graves' disease}}
-{{familytree | | | | | | | | | | | | | | | |!| | | | | | | | }}
+{{familytree | | | | | | | | | | | | | | |!| | | | | | | | }}
-{{familytree | | | | | | | | | | | | | | | B01 | | | | | |B01=Measure serum TSH and free T4}}
+{{familytree | | | | | | | | | | | | | | B01 | | | | | |B01=Measure serum TSH and free T4}}
-{{familytree | | | | | | |,|-|-|-|v|-|-|-|-|^|-|-|-|-|v|-|-|-|.| }}
+{{familytree | | | | | |,|-|-|-|v|-|-|-|-|^|-|-|-|-|v|-|-|-|.| }}
-{{familytree | | | | | | C01 | | C02 | | | | | | | | C03 | | C04 | | | |C01=Normal TSH & free T4|C02=↓ TSH & ↑ free T4|C03=↓ TSH & Normal free T4|C04= Normal or ↑ TSH & ↑ free T4}}
+{{familytree | | | | | C01 | | C02 | | | | | | | | C03 | | C04 | | | |C01=Normal TSH & free T4|C02=↓ TSH & ↑ free T4|C03=↓ TSH & Normal free T4|C04= Normal or ↑ TSH & ↑ free T4}}
-{{familytree | | | | | | |!| | | |!| | | | | | | | | |!| | | |!| }}
+{{familytree | | | | | |!| | | |!| | | | | | | | | |!| | | |!| }}
-{{familytree | | | | | | D01 | | D02 | | | | | | | | D03 | | D04 | | | |D01= Hyperthyroidism ruled out|D02=Hyperthyrodism|D03=Measure free T3|D04=TSH secreting pituitary tumor,<br> Thyroid hormone resistance<br> or Assay interference }}
+{{familytree | | | | | D01 | | D02 | | | | | | | | D03 | | D04 | | | |D01= Hyperthyroidism ruled out|D02=Hyperthyrodism|D03=Measure free T3|D04=TSH secreting pituitary tumor,<br> Thyroid hormone resistance<br> or Assay interference }}
-{{familytree | | | | | | | | | | |!| | | | | | | | | |!| | | | || | | }}
+{{familytree | | | | | | | | | |!| | | | | | | | | |!| | | | || | | }}
-{{familytree | | | | | | | | | | E03 | | | | | | |,|-|^|-|.| | |E03=Measure TSH receptor antibodies }}
+{{familytree | | | | | | | | | E03 | | | | | | |,|-|^|-|.| | |E03=Measure TSH receptor antibodies }}
-{{familytree | | | | | | | | | | |!| | | | | | | F01 | | F02 | |F01=↑ free T3|F02=Normal free T3 }}
+{{familytree | | | | | | | | | |!| | | | | | | F01 | | F02 | |F01=↑ free T3|F02=Normal free T3 }}
-{{familytree | | | | | | |,|-|-|-|^|-|.| | | | | | | | | }}
+{{familytree | | | | | | | |,|-|^|-|.| | | | | |!| | | |!| |}}
-{{familytree | | | | | | G01 | | G02 | | | | | | | | }}
+{{familytree | | | | | | | G01 | | G02 | | | | G03 | | G04 | |G01=Present|G02=Absent|G03=T3 Toxicosis|G04=Sub-clinical Hyperthyrodism}}
+{{familytree | | | | | | | |!| | | |!| | | | | | | | | |!| | | | }}
+{{familytree | | | | | | | H01 | | H02 | | | | | | | | H03 | |H01='''Graves' Disease|H02=Assess radioiodine uptake<br>obtain radionuclide scan<br> or both|H03=Evolving Graves' disease<br>Evolving toxic nodular goiter<br>Excess thyroid hormone intake<br>Non thyroidal illness }}
+{{familytree | | | | | | | | | | | |!| | | | | | | | | | | | | | }}
+{{familytree | | | | | | | |,|-|-|-|+|-|-|-|.| | | | | | | | | | }}
+{{familytree | | | | | | | I01 | | I02 | | I03 | | | | | | | | |I01=Homogeneous<br>increased uptake|I02=Patchy uptake<br>or single nodule|I03=Low or no uptake}}
+{{familytree | | | | | | | |!| | | |!| | | |!| | | | | | | | | | }}
+{{familytree | | | | | | | J01 | | J02 | | J03 | | | | | | | | |J01=Graves' disease|J02=Toxic nodular goiter|J03=Subacute thyroiditis<br>Excess thyroid hormone intake<br>HCG secreting tumor}}
 {{familytree/end}}

Sandbox:ddx graves: Difference between revisions

Revision as of 18:06, 19 December 2016

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