06.01 Endo/Metabolic
06.01 Thyroid [PDF link]: Hypothyroidism – Hashimoto’s hypothyroidism, Subacute thyroiditis (de Quervain’s), Riedel thyroiditis, Iodine deficiency, Levothyroxine, Subclinical hypothyroidism, Sick euthyroid syndrome, Mxyoedema coma. Hyperthyroidism – Grave’s disease, Toxic multinodular goitre, Thyroid storm. Thyroid cancers – Anaplastic carcinoma, Follicular adenoma, Follicular carcinoma, Thyroid lymphoma, Medullary carcinoma, Papillary carcinoma. Goitre.
More on hypothyroidism
NICE guidelines NG145 for thyroid disease, last updated Oct 2023 – sections 1.3 to 1.5 deal with hypothyroidism
CKS has a page on hypothyroidism, last updated Nov 2024
Good explanation on the causes of hypothyroidism
Good list of additional investigations that can be requested: FBC, HbA1c, coeliac serology, serum lipids ± TPOAbs
Interpreting TFTs: GeekyMedics
Frequency of monitoring (NG145 1.4)
Every 3 months until level has stabilised, then once a year
Measure TSH & FT4 if ongoing smx of hypothyroidism despite starting levothyroxine
More frequent measuring in children
More on hyperthyroidism
