Thyroid-related laboratory abnormalities

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  • Опубліковано 10 лип 2024
  • Thyroid-related laboratory abnormalities
    This video covers thyroid-related laboratory abnormalities, which can help you differentiate between various causes of hyper- and hypothyroidism using lab values like TSH, T4, and T3.
    ADDITIONAL TAGS:
    Disorder
    TSH
    Free T4
    T3
    Comment
    Classic primary hyperthyroidism
    Low
    High
    High
    Graves disease (diffuse goiter, most common hyperthyroid), Plummer disease (multinodular), toxic adenoma
    Subclinical hyperthyroidism
    Low
    Normal
    Normal
    Could also be central hypothyroidism, nonthyroidal illness, recovery from hyperthyroid, pregnancy
    T3 toxicosis
    Low
    Normal
    High
    Graves (mild or early disease), exogenous T3, antithyroid medication
    T4 toxicosis
    Low
    High
    Normal
    Amiodarone, levothyroxine (T4)
    TSH producing tumor
    Normal/High
    High
    High
    Likely pituitary;
    TSH=thyroid secreting hormone
    Primary hypothyroidism
    High
    Low
    Low
    Hashimoto disease (most common hypothyroid), iodine deficiency
    Secondary hypothyroidism
    Low/Normal
    Low
    Low
    Hypofunctioning pituitary
    Subclinical hypothyroidism
    High
    Normal
    Low
    -

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