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Use and Interpretation of Thyroid Tests - MCE …

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?

Are normal values normal? An individual patient’s TSH remains in a much narrower range with repetitive testing – Establishment of normal range may have included patients with occult thyroid disease

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

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