Endocrine

• related: Medicine

MKSAP

• Disorders of Glucose Metabolism
• Disorders of the Pituitary Gland
• Disorders of the Adrenal Glands
• Disorders of the Thyroid Gland
• Reproductive Disorders
• Transgender Hormone Therapy Management
• Calcium and Bone Disorders

Pituitary

• pituitary adenoma
• inappropriately normal TSH could be sign of central hypothyroidism
• pituitary apoplexy
• MEN
• hyperprolactinemia

Subclinical hypothyroidism

• related: Endocrine, Elderly patients have higher TSH concentration, hypothyroidism
• tags: #note

Subclinical hypothyroidism (SCH) is defined as an elevated serum TSH level with a normal free thyroxine. The most common cause is chronic lymphocytic Hashimoto thyroiditis. T

myxedema coma

• related: Endocrine, hypothyroidism
• tags: #note

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History

• personal or family hx of autoimmune disease
• Grave's disease hx
• recent pregnancy
• medications: amiodarone, lithium
• Hx of brain surgery, pituitary surgery, head trauma
• trigger: any stress, infection/MI

Sx

• AMS: slow or psychosis
• hypothermia
• slowed organ function
• non pitting edema everywhere

inappropriately normal TSH could be sign of central hypothyroidism

• related: Endocrine, hypothyroidism
• tags: #endocrine

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This patient's clinical findings (eg, fatigue, weight gain, dry skin, hyponatremia, normocytic anemia) are suggestive of hypothyroidism, but his TSH is not elevated.  In light of his history of ==pi