Document Detail

Abnormal TSH: a rational approach to the older patient.
MedLine Citation:
PMID:  10451648     Owner:  NLM     Status:  MEDLINE    
The clinician whose older patient exhibits an abnormal TSH value must first determine if the result is caused by nonthyroidal illness or a medication whose effect is reversible. Patients without a nonthyroidal cause for the TSH abnormality and corresponding abnormalities in levels of circulating thyroid hormones and/or significant reproducible TSH elevation are usually in need of therapy. Those with normal circulating concentrations of thyroid hormone and potentially reversible signs and symptoms may be considered for a monitored therapeutic trial of treatment. All others need to be followed biochemically regardless of treatment choices. Patients with subclinical thyroid dysfunction require follow-up.
P J Drinka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Geriatrics     Volume:  54     ISSN:  0016-867X     ISO Abbreviation:  Geriatrics     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-02     Completed Date:  1999-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985102R     Medline TA:  Geriatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  58, 63-5     Citation Subset:  AIM; IM    
University of Wisconsin, Madison, USA.
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MeSH Terms
Diagnosis, Differential
Pharmaceutical Preparations / adverse effects
Thyroid Diseases / diagnosis,  drug therapy
Thyroid Function Tests
Thyrotropin / blood*
Thyroxine / administration & dosage
Time Factors
Reg. No./Substance:
0/Pharmaceutical Preparations; 7488-70-2/Thyroxine; 9002-71-5/Thyrotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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