Thyroid Clinic

This condition is treated in the Endocrinology clinic.

Pre-referral work-up

History

This clinic accepts referrals for the investigation and management of non-malignant thyroid disease including hyperthyroidism, hypothyroidism, nodular thyroid disease, goitre and management of post parathyroidectomy hypoparathyroidism.

All referrals should comply to the referral standards and also include:

• Onset of symptoms
• Current medications especially thyroid hormones
• Family history of thyroid disease
• Size and description of thyroid gland - enlarged, smooth or nodular?
• Associated eye signs
• Weight loss/gain and appetite
• Energy
• Signs or symptoms of cardiac disease

Tests

• TSH
• T4 and T3
• Thyroid antibodies

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

Hypothyroidism is usually a general practice condition unless the symptoms fail to respond to treatment and all patients should be started on Thyroxine replacement. Hyperthyroidism with Grave's disease can be started on carbimazole +/- beta blocker in discussion with endocrinologist while waiting for appointment. Do not perform neck ultrasound unless palpable nodule or goitre.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency

? Clinically severe hyperthyroidism complicated by cardiac, respiratory failure.
? Neutropenia in patients taking carbimazole or propylthiouracil
? Possible tracheal or superior vena caval obstruction from retrosternal thyroid enlargement

If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.

Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.

Semi-urgent (Category 2)

Newly diagnosed hyperthyroidism

Availability

North

John Morris Diabetes Centre
Northern Integrated Care Centre

Phone: 6777 4145
Fax: 6777 5247

North West

North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928

Diabetes Centre
North West Regional Hospital
Phone: 6493 6100
Fax: 6431 8061

Diabetes Clinic
Devonport Community Health Centre
Phone: 6493 6100
Fax: 6441 5946

Paediatric
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

South

Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982