Thyroid and Parathyroid Disorders

Mar 15, 2015 Issue
Primary Hypothyroidism [Clinical Evidence Handbook]

What are the effects of treatments for clinical (overt) hypothyroidism and subclinical hypothyroidism?

Sep 15, 2014 Issue
Thyroiditis: An Integrated Approach [Article]

Learn how to differentiate between common types, and how each is treated.

Jul 15, 2014 Issue
Stable TSH Can Be Rechecked in Two Years [POEMs]

Most patients receiving thyroid replacement therapy with less than 125 mcg of levothyroxine per day can wait two years before monitoring thyroid-stimulating hormone (TSH) levels if their results are normal. Fewer than one in 10 patients who take less than 125 mcg of levothyroxine per day with a norm...

Feb 15, 2014 Issue
Thyroid Disease in Pregnancy [Article]

Thyroid disease is the second most common endocrine disorder affecting women of reproductive age, and when untreated during pregnancy is associated with an increased risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. Current guidelines recommend targeted screen...

Aug 15, 2013 Issue
Parathyroid Disorders [Article]

Disorders of the parathyroid glands most commonly present with abnormalities of serum calcium. Patients with primary hyperparathyroidism, the most common cause of hypercalcemia in outpatients, are often asymptomatic or may have bone disease, nephrolithiasis, or neuromuscular symptoms. Patients with ...

Aug 1, 2013 Issue
Thyroid Nodules [Article]

Thyroid nodules are a common finding in the general population. They may present with symptoms of pressure in the neck or may be discovered during physical examination. Although the risk of cancer is small, it is the main reason for workup of these lesions. Measurement of thyroid-stimulating hormone...

Aug 1, 2012 Issue
Hypothyroidism: An Update [Article]

Hypothyroidism is a clinical disorder commonly encountered by the primary care physician. Untreated hypothyroidism can contribute to hypertension, dyslipidemia, infertility, cognitive impairment, and neuromuscular dysfunction. Data derived from the National Health and Nutrition Examination Survey su...

Apr 15, 2011 Issue
Update on Subclinical Hyperthyroidism [Article]

Subclinical hyperthyroidism is defined by low or undetectable serum thyroid-stimulating hormone levels, with normal free thyroxine and total or free triiodothyronine levels. It can be caused by increased endogenous production of thyroid hormone (as in Graves disease or toxic nodular goiter), adminis...

Nov 15, 2009 Issue
Screening for Congenital Hypothyroidism: Reaffirmation Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends screening for congenital hypothyroidism in newborns.

Apr 1, 2008 Issue
Subclinical Hypothyroidism [Cochrane for Clinicians]

Although there is evidence that thyroid hormone therapy in patients with subclinical hypothyroidism may improve lipid profiles, cognitive function, and echographic left ventricular function, there is no evidence that this will decrease morbidity or mortality.

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