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6 Cards in this Set

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Thyroid function tests

TSH


Free T4

1. Dec TSH inc T4 inc RAIU whats the diagnosis?


2. Dec TSH inc T4 dec RAIU whats your Dx?


3. Inc TSH dec T4 dec RAIU whats your Dx?

1. Primary hyperthyroidism due to grabis or multinodular goiter (inc RAIU)


2. Primary hyperthyroidism due to thyroiditis (dec RAIU).


3. Primary hypo thyroiditis due to any cause.

How to Rx hyperthyroidism in pregnant lady?

Propranolol + PTU (propylthyiouracil) in 1st and 3rd trimester.


In 2nd trimester go for surgery.

1. Gold standard test to dx cushing syndrom?


2. Screening test for cushin?


3. Evaluat pts with adrenal disease?

1-Gold standard to dx 24h urin-free cortisol.


2-screaning test is 1 mg dexamethason supresion test.

Diffrance btw promary and secondary adrenal insufficiancy?

- Hyperpigmentation (only with primary).


- electrolyte abnormality.


-hypotension.

RX ADDISON?

Glucocorticoid.


Mineralocorticoid.


Nacl replacement.