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29127375
Algoritmo diagnóstico de hipotiroidismo
Description
Flowchart on Algoritmo diagnóstico de hipotiroidismo, created by Valeria Astudillo on 27/02/2021.
Flowchart by
Valeria Astudillo
, updated more than 1 year ago
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Created by
Valeria Astudillo
over 3 years ago
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Resource summary
Flowchart nodes
Signos y síntomas sugestivos
Medir TSH en plasma
-Astenia -Letargia -Somnoliencia -Intolerancia al frío -Enlentecimiento de las funciones intelectuales -Aumento de peso -Disminución del apetito -Estreñimiento -Trastornos menstruales -Parestesias -Artralgias
-Bradicardia -Piel seca -Voz ronca -Bradipsiquia -Movimientos lentos -Hiporreflexia -Edema sin fóvea
TSH alta: >5 mUI/L
TSH baja: <0.5 mUI/L
TSH en rango normal: 0.5-5 mUI/L
Medir T4 libre en plasma VN: 0.74-1.26 ng/dL
T4 libre baja: <0.74ng/dL
T4 libre baja: <0.74ng/dL
T4 libre baja: <0.74ng/dL
Medir T4 libre en plasma VN: 0.74-1.26 ng/dL
Medir T4 libre en plasma VN: 0.74-1.26 ng/dL
T4 libre normal
Hipotiroidismo central
Hipotiroidismo primario
Hipotiroidismo subclínico
Hacer una RM cerebral para determinar si es secundario o terciario
Realizar TPOAb T3 total
T3 normal
T3 baja
Ac positivos
Baja probabilidad de hipotiroidismo
Hipotiroidismo T3
Tiroiditis de Hashimoto
Referir al endocrinólogo
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