Thyroid Disorders Testing Algorithm - ARUP Consult

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INDICATIONS FOR Testing Increased or decreased metabolism (heat or cold intolerance, weight loss or gain, depression, anxiety, etc) Family history of autoimmune thyroiditis Goiter on physical exam Central hypothyroidism Severe illness Euthyroid sick syndrome subclinical hyperthyroidism Drug interference hyperthyroidism Primary hypothyroidism Thyroid ablation removal Euthyroid sick syndrome Transient thyroiditis subclinical hypothyroidism Euthyroid sick syndrome Transient thyroiditis Autoimmune thyroiditisFacilitate treatment decisionsCONSIDER Radioiodine Thyroid scan and % uptakeORDERThyroid Stimulating Immunoglobulin (TSI) Thyroid Peroxidase (TPO) AntibodyThyroid Stimulating Hormone Receptor Antibody (TRAb)

Subclinical hyperthyroidism Drug interference Hyperthyroidism Primary hypothyroidism Thyroid ablation removal Subclinical hypothyroidism High Euthyroid sick syndrome Transient thyroiditis Autoimmune thyroiditis Facilitate treatment decisions CONSIDER Radioiodine thyroid scan and % uptake ORDER

  Subclinical, Hyperthyroidism, Subclinical hyperthyroidism