Thyrotoxicosis Diagnosis - Clinical Diagnostic Index

Are you evaluating a patient for clinical evidence of thyrotoxicosis?

Yes

Does the patient note ?

• dyspnea on effort?

Yes

• palpitations?

Yes

• tiredness?

Yes

• excessive sweating?

Yes

• nervousness?

Yes

Is the thyroid gland palpable?

Yes

Is a bruit heard over the thyroid?

Yes

Is exophthalmos present?

Yes

Is lid retraction present?

Yes

Is lid lag present?

Yes

Does the patient show hyperkinetic movements?

Yes

Is fine finger tremor present?

Yes

Are the hands hot?

Yes

Are the hands moist?

Yes

Does the patient have auricular fibrillation?

Yes

Heart rate

beats per minute

Select an appropriate answer for each finding

Temperature preference

Appetite

Body weight

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Symptom subscore

Sign subscore

Diagnostic index

Which indicates that the patient is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Differential Diagnosis - Low TSH - Normal Serum Free T4 and T3 Levels
Other Testing
- Myxedema Coma Screening Tool
Criteria For Diagnosis
- Clinical Score of Zulewski et al for Hypothyroidism
Differential Diagnosis And Mimics, Red Flags
- Autoimmune Thyroiditis with Graves Disease Associated with Immune Reconstitution During HIV Therapy
- Differential Diagnosis - Low TSH - Normal Serum Free T4 and T3 Levels

Therapy

Dosage Calculations
- Equation of Ojomo et al for Dosing Levothyroxine Following Total Thyroidectomy
Dosage Adjustments
- Equation of Ojomo et al for Dosing Levothyroxine Following Total Thyroidectomy

Monitoring

Adverse Effects
- Interferon Induced Thyroiditis (IIT) in Patient with Hepatitis C

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Clinical Diagnostic Index of Crooks et al for Thyrotoxicosis

Purpose: To evaluate a patient for thyrotoxicosis using the clinical diagnostic index of Crooks et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10