Hyperthyroidism

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Who to Refer

  • For children and young people suspected of having hyperthyroidism, biochemical confirmation is required. Raised T3/T4 in the presence of suppressed TSH is suggestive of hyperthyroidism.
  • Children and young people should be assessed for thyrotoxicosis prior to referral. Assessment includes: BP, HR, size of goitre, presence of eye signs.
  • If tachycardia, hypertension, tremor, palpitations present, referral via acute paediatrics required.
  • If bloods being repeated prior to referral, for example due to monitoring trend, please request TRABs.

How to Refer

Children and young people with evidence of thyrotoxicosis should be referred urgently (same day) to paediatrics via Ninewells switchboard, requesting bleep 4184 (paediatric registrar).

For children and young people with hyperthyroidism, please refer to paediatrics for urgent out-patient review via the SCI-Gateway referral system.