0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Diagnosis of Thyroid Dysfunction-Reply

Leo V. dos Remedios, MD
Arch Intern Med. 1982;142(3):646. doi:10.1001/archinte.1982.00340160226048.
Text Size: A A A
Published online

—To maximize screening sensitivity, we designated 2,267 patients who had an FT4I of 141 to 340 (normal, 121 to 360) plus total T4 levels of 5.5 to 10.4 μg/dL (normal, 4.5 to 11.4 μg/dL) as "highly probable euthyroid." Of these patients, one third were randomly selected for careful study, including their TSH levels. None had thyroid dysfunction. All remaining patient groups were similarly fully studied.

Of asymptomatic euthyroid patients, 1% had isolated high TSH levels (7 to 15 μU/mL). Evered et al1 defined such patients with normal FT4Is and some elevation of TSH levels as having "subclinical hypothyroidism," giving six of 22 thyroid medication without symptomatic change. We chose not to treat but to follow up those patients with subclinical hypothyroidism. All our symptomatic hypothyroid patients happened to have a low FT4I.

We found uncommon "T3 toxicosis," defined as a syndrome with

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();