| Abnormal TSH: a rational approach to the older patient. | |
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MedLine Citation:
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PMID: 10451648 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P J Drinka |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Geriatrics Volume: 54 ISSN: 0016-867X ISO Abbreviation: Geriatrics Publication Date: 1999 Aug |
Date Detail:
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Created Date: 1999-09-02 Completed Date: 1999-09-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2985102R Medline TA: Geriatrics Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 58, 63-5 Citation Subset: AIM; IM |
Affiliation:
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University of Wisconsin, Madison, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Diagnosis, Differential Humans Pharmaceutical Preparations / adverse effects Thyroid Diseases / diagnosis, drug therapy Thyroid Function Tests Thyrotropin / blood* Thyroxine / administration & dosage Time Factors |
| Chemical | |
Reg. No./Substance:
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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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