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Hormonal problems

Recommandation(s)

Hormonal problems

R1
Endocrine abnormalities/ short stature - Thyroid Function Tests and plot length and occipito-frontal head circumference (OFC) on WS growthchart
R2
Baby (Age: 0-1) Thyroid functiontests (TFTs). Ensure baseline test are undertaken. Repeat thyroid function test if patient symptomatic. Measure TSH levels and if elevated, consider thyroid scanning and replacement therapy. Plot growth and OFC 3monthly.
R17
Childhood (Age: 2-11)
Thyroid function tests(TFTs)
Test if patient is symptomatic. Measure TSH levels and if elevated, consider thyroid scanning, Consider treatment with L-Thyroxin if patient has overt hypothyroidism, or progressive deterioration of thyroid function.


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