This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages before signing in

Referral criteria from primary care - thyroid disease

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Patients with hypothyroidism can expect to be referred if:

  • aged <16
  • pregnant or post partum
  • evidence of pituitary disease
  • newborn infant

Referral should also be considered if (2)

  • there are particular problems such as "active and unstable ischaemic heart disease (2)" or treatment with amiodarone or lithium
  • symptoms do not respond or worsen after treatment with levothyroxine
  • serum TSH level is persistently raised while on full dose of levothyroxine (2)

Patients with hyperthyroidism can reasonably expect to be referred for a specialist opinion at diagnosis.

References:

  1. Thyroid disease: assessment and management. NICE guideline NG145. Published: 20 November 2019 Last updated: 12 October 2023.
  2. Vaidya B, Pearce SH. Diagnosis and management of thyrotoxicosis. BMJ. 2014 Aug 21;349:g5128

Related pages

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.