The general physicians encounter several cases in his/her practice where he/she need to screen thyroid dysfunction. Common conditions were Patients with atrial fibrillation Hypertension Diabetes Patients on amiodarone or lithium therapy Depression Patients with Down syndrome, Turner syndrome, or Addison’s disease Dementia or Obesity Unexplained Infertility or repeated miscarriages Dysfunctional uterine bleeding Women with type DM during 1 st term or three months after postpartum Breast cancer Goitre Thyroid pain or throat pain with bacterial or viral infections Family history of thyroid autoimmunity Non-specific symptoms of women after 40 years Previous thyroid or hyperthyroid Basic Tests: TSH, Free T4, and Free T3: If an economy is a matter of concern advice only TSH.
A normal TSH level rules out primary thyroid dysfunction. When TSH levels are abnormal or when pituitary or…
