Sub-clinical thyroid disease Flashcards
1
Q
What TFTs in subclinical
A
Normal t3/4 raised or lowered TSH
2
Q
Risk of hypothyroid progression increases if..
A
Autoantibodies present (thyroid peroxidase)
3
Q
1st step of Mx in both hypo/hyper
A
Check that the TSH level is persistent (recheck in 2-4 months)
4
Q
2nd step of Mx in both
A
Check non-thyroidal cause and Hx (pregnancy/drugs)
5
Q
Why is sub-clinical hypothyroidism taken more seriously/lower threshold for tx
A
Risk of cardiac death
6
Q
When do you treat SC-Hypo (4)
A
TSH >10mu/L
+ve autoantibodies
Previous graves’ (treated)
Other AI organ (e.g. DM1)
7
Q
If TSH is 4-10 and vague symptoms what do you do
A
treat for 6 months. Continue if improvement or trying to conceive
