Guest guest Posted February 22, 2012 Report Share Posted February 22, 2012 http://www.onmedica.com/ClinicalArticleView.aspx?id=e5c5b5fb-516b-4f4d-9e1f-5b9a3d44ffde The management of hypothyroidism Tillmann i, general practitioner, York. Reviewed by Luke Koupparis, general practitioner, Bristol. Tuesday, 21 February 2012 Key learning points The development of hypothyroidism can be complex and subtle. A proportion of patients with hypothyroidism in the UK may not be identified or treated adequately. Measuring only TSH for diagnosis can miss the rarer secondary or tertiary forms of hypothyroidism. The development of a goitre is an unreliable sign for hypothyroidism. Some patients may not respond to straightforward treatment with L-Thyroxine (T4) for physiological reasons and therefore may need additional treatment. The diagnosis and management of subclinical hypothyroidism remains partially inconsistent or even controversial, despite international expert advice. Quote Link to comment Share on other sites More sharing options...
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