title: [Thyroid dysfunction in primary care medicine].
abstract: Thyroid function tests include the measuring of the thyroid stimulating hormone (TSH) and free thyroxine (T4) in the case of abnormal TSH. These tests are frequently performed in primary care medicine since many clinical situations can be suggestive of dysthyroidism, as for example fatigue, depressive states or cardiac arthmia. In the case of subclinical thyroid dysfunction, the indications for treatment are controversial there being a lack of significant randomised studies. For primary care physicians faced with abnormal thyroid function tests we propose a diagnostic approach, clinical recommendations, and indications for referral to the specialist.
authors.affiliation: PMU, 101l Lausanne. Kaisa.Wuerzner@gmail.com
authors.forename: Kaisa
authors.initials: K
authors.lastname: Wuerzner
authors.forename: Olivier
authors.initials: O
authors.lastname: Pasche
authors.forename: Nicolas
authors.initials: N
authors.lastname: Rodondi
authors.forename: Luc
authors.initials: L
authors.lastname: Portmann
mesh_terms: D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis / Q000628:therapy; D007037:Hypothyroidism / Q000175:diagnosis / Q000628:therapy; D058007:Physicians, Primary Care; D012017:Referral and Consultation; D013959:Thyroid Diseases / Q000175:diagnosis / Q000628:therapy*; D013960:Thyroid Function Tests; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood
chemical_list: D013972:Thyrotropin; D013974:Thyroxine