Thyroid Graves Disease & HIV Therapy | Medical Algorithm

Are you evaluating a patient with HIV who is receiving HAART?

Yes

Did the patient have evidence of thyroid disease prior to starting HAART?

Yes

Has the patient developed signs of a thyroiditis with or without Graves's disease following HAART?

Yes

Is the serum positive for anti-thyroid antibodies?

Yes

Is there another diagnosis that can explain the findings better?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of reasons to suspect autoimmune thyroiditis as an immune reconstitution syndrome

Number of reasons to consider another diagnosis

Should you consider the diagnosis of autoimmune thyroiditis associated with immune restoration in this patient?

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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 Diagnostic Index of Crooks et al for Thyrotoxicosis
- Clinical Score of Zulewski et al for Hypothyroidism
Differential Diagnosis And Mimics, Red Flags
- 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

Autoimmune Thyroiditis with Graves Disease Associated with Immune Reconstitution During HIV Therapy

Purpose: To evaluate an HIV-positive patient for autoimmune thyroiditis as an immune restoration syndrome associated with HAART.

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10