Subclinical Thyroid Disease Flashcards
1
Q
When would you treat someone with subclinical hypothyroidism?
A
If TSH >10 on 2 occassions 3 months apart
OR
Symptoms of hypothyroid
2
Q
What is subclinical hypothyroidism?
A
When TSH is raised but free T4 is in normal range
3
Q
What to do if treating someone for subclinical hypothyroid and symptoms do not improve even though TSH is within reference range?
A
Consider alternative diagnosis
4
Q
Do you give medication in primary care for subclinical hyperthyroidism?
A
No
5
Q
When would you refer someone with subclinical hyperthyroidism to secondary care?
A
2 TSH readings <0.1 3 months apart
AND
There is evidence of thyroid disease (for example, a goitre or positive TSH-receptor antibodies) or symptoms of thyrotoxicosis.
