Use and Interpretation of Thyroid Tests

Use and Interpretation of Thyroid TestsHerbert L. Muncie, Jr., You diagnosed hyperthyroidism 6 mosago Endocrine consult recommended 131I therapy She completed 131I therapy 6 weeks ago Labs: 1 week ago TSH -< mU/L ( ) Free T4 ng/dL( )Does she have persistent hyperthyroidism requiring additional 131I therapy ?36 Year Old Female(Follow-up Visit) At initial visit gave a history of 3 weeks of mild anterior neck pain, palpitations Mild jitteriness has been noted Thyroid gland was diffusely tender, but not enlarged Labs: 1 week ago TSH mU/L (nl ) Free T4 ng/dL (nl )Should she be started on an anti- Thyroid medication for hyperthyroidism?22 Year Old Female(One Week Follow-up visit) Seen last week for mild fatigue No chest pain or history of CHF Labs: TSH mU/L (nl ) Free T4 ng/dL (nl ) Anti-TPO antibodies positiveShould she be started on Thyroid replacement?66 Year Old Female(Follow-up visit to review labs) Thyroid Gland Normal gland function is secretion of two hormones L-thyroxine (T4) 3,5,3'-triiodo-L-thyroxine (T3) Normal functioning depends on exogenous iodine intake Iodine deficiency rare in developed countryThyroid GlandTwo lobes joined by isthmusLie anterior & caudad to cartilage of larynxThyroid Hormones T4 Only source is Thyroid T3 Thyroid produces 20% Remaining 80% generated in extra glandular tissue by conversion of T4 to T3

At initial visit –gave a history of 3 weeks of mild anterior neck pain, palpitations Mild jitteriness has been noted Thyroid gland was diffusely tender, but not enlarged

Tags:

  Tests, Interpretation, Thyroid, Use and interpretation of thyroid tests

Information

Related search queries