Guidelines presents Primary Care Hacks, a series of clinical aide-memoires across a range of topics. Developed by Dr Kevin Fernando, Primary Care Hacks aim to provide a quick and easy resource for primary healthcare professionals and ultimately help improve patients' lives.
Take a Look at Medscape UK's other Primary Care Hacks
|Managing Abnormal Blood Test Results||Managing Cardiovascular Conditions||Managing Diabetes, Metabolic, and Endocrine Disorders|
Subclinical Hypothyroidism in Primary Care
Subclinical hypothyroidism (SCH) is commonly observed in primary care. Nearly two-thirds of those with the condition normalise their thyroid function without intervention within 5 years; most do not require treatment and it is often over-treated in primary care. This Primary Care Hack guides the primary care management of SCH to help avoid over-treatment, as well highlighting some practical pointers and pitfalls to avoid when managing primary hypothyroidism.
|What is Subclinical Hypothyroidism?|
Managing Subclinical Hypothyroidism
|Managing Subclinical Hypothyroidism|
|Hypothyroidism in Primary Care: Practical Pointers|
Click on the link below for a downloadable PDF of the Primary Care Hack.
|BNF=British National Formulary; FBC=full blood count; FT4=free thyroxine; GI=gastrointestinal; od=once daily; LT4=levothyroxine; PAI=primary adrenal insufficiency; PPI=proton pump inhibitor; SCH=subclinical hypothyroidism; T1D=type 1 diabetes; T2D=type 2 diabetes; TFT=thyroid function test; TPOAb=thyroid peroxidase antibodies; TSH=thyroid-stimulating hormone; QIA=quality improvement activity.|
|This Primary Care Hack was developed by Dr Kevin Fernando, GP Partner, North Berwick Health Centre, GP with special interest in cardiovascular–renal–metabolic conditions and medical education; and Content Advisor for Medscape UK and Medscape Global. Primary Care Hacks are for information for primary healthcare professionals in the UK only. They bring together currently available recommendations and/or prescribing information and indications for therapeutics licensed within Great Britain. Licensed indications and/or prescribing information for Northern Ireland may differ. You are advised to review local licensed indications before prescribing any therapeutic. Primary Care Hacks are reviewed intermittently to ensure the information is up to date at the time of publication. Primary Care Hacks are independently produced by WebMD, LLC and have not been created in conjunction with any guideline or prescribing body.|