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- W3024748673 abstract "Thyroid disorders are common in pediatrics. Tests of function are widely available and frequently ordered in the pediatric healthcare setting. This is sometimes driven by common signs or symptoms of disease. All too often, it is driven by patients and their parents requesting tests for nonspecific symptoms, such as fatigue, obesity or family history of disease. The decision to order tests, as well as which test(s) of function to order, deserves careful thought rather than a reflexive thyroid panel for every patient. Thyroid stimulating hormone (TSH) is the single most appropriate test of function when screening a pediatric or adolescent for disorders. Adding more tests only increases the likelihood that a minor (and often insignificant) abnormality will be found. These incidental abnormalities can create anxiety for the parent and child, and usually results in additional testing, referral to a pediatric endocrinologist, and further expense. This review will aim to guide the pediatric primary care provider on the choice of appropriate screening test(s) for acquired dysfunction in children and adolescents, as well as the proper interpretation of the test(s). Emphasis will be placed on the slightly abnormal screening test. Specific tests to be reviewed include TSH, (free) T4, (free) T3, and antibodies. Finally, this review will aim to guide decisions on follow-up, additional testing, and reasons for referral to a pediatric endocrinologist. Congenital hypothyroidism, including abnormalities on state newborn screening, will not be discussed." @default.
- W3024748673 created "2020-05-21" @default.
- W3024748673 creator A5038656155 @default.
- W3024748673 date "2020-05-01" @default.
- W3024748673 modified "2023-09-27" @default.
- W3024748673 title "The “slightly” abnormal thyroid test: What is the pediatrician to do?" @default.
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- W3024748673 doi "https://doi.org/10.1016/j.cppeds.2020.100770" @default.
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