May 15, 2021 · Hypothyroidism occurs when there is inadequate thyroid hormone production by the thyroid gland or insufficient stimulation by the hypothalamus or pituitary gland.

Thyroid disease frequently arises from autoimmune processes that stimulate overproduction of hormones (hyperthyroidism) or causes gland destruction that subsequently leads to underproduction of hormones (hypothyroidism). Testing for thyroid disease is indicated by either increased or decreased metabolism.

This guideline provides recommendations for diagnosis and clinical management of patients with hypothyroidism in the ambulatory care setting.

Appropriate treatment should reverse all the clinical manifestations of hypothyroidism. This topic will review the major issues that must be addressed in the treatment of adults with overt primary hypothyroidism.

Expected in 2° hypothyroidism (after surgery, radiotherapy) - discuss Nodules & Multinodular Goitre Patients with a thyroid nodule or a multinodular goitre who have normal TFTs may have thyroid cancer and must be referred to a specialist for further evaluation / consideration of FNA Thyroid dysfunction in pregnancy / postpartum mmt.camdenccg ...

Thyroid Function Ordering Algorithm* Nonhospitalized patients without known or suspected pituitary disease Begin evaluation by ordering either the cascade approach THSCM / Thyroid Function Cascade, Serum (all appropriate tests are performed automatically) or …

a TSH is the most appropriate initial investigation for suspected primary thyroid disorder. Free T4 and/or free T3 are not usually requested in isolation. b If TSH is higher or lower than laboratory reference intervals, request free T4.

All send out thyroid testing including for heterophile antibody (e.g., HAMA) treatment requires clinical justification and pathology send out approval. Heterophile interference of thyroid assays typically manifest with substantial increases or decreases in values.

Managment of thyroid disease will always require your knowledge and your thought. The following algorithms are presented as guides to help direct investigation, diagnosis, and therapy. Click on one of the topics to identify a pathway that will be useful in managing your patient.

Hypothyroidism is a common endocrine disorder that mainly affects women and the elderly. This article outlines the aetiology, clinical features, investigation and management of hypothyroidism. In the Western world, hypothyroidism is most commonly caused …