The SOAPnote Project > Endocrine, Nutrition & Obesity > Interpreting Thyroid Function Tests

Interpreting Thyroid Function Tests

posted 2015-01-13, updated 2023-02-22

Endocrine, Nutrition & Obesity, Noteworthy

Duplicate
View
Live Form Edit Markup Data Dictionary

Thyroid Function Evaluation
[select name="Q1" value="choose|High|Normal|Low"] <-- Thyroid Stimulating Hormone (TSH)[conditional field="Q1" condition="(Q1).is('High')"]
Differential Includes --> [select name="Q2" value="choose|Primary hypothyroidism|Subclinical hypothyroidism|TSH-mediated hyperthyroidism"][/conditional][conditional field="Q1" condition="(Q1).is('Normal')"]
Differential Includes --> [select name="Q3" value="choose|Euthyroid|Euthyroid hyperthyroxinemia|Euthyroid hypothyroxinemia|Euthyroid - triiodothyronine therapy|Euthyroid - thyroid extract therapy|TSH-mediated hyperthyroidism|Central hypothyroidism"][/conditional][conditional field="Q1" condition="(Q1).is('Low')"]
Differential Includes --> [select name="Q4" value="choose|Hyperthyroidism|Subclinical hyperthyroidism|Central hypothyroidism"][/conditional]
Findings --> [conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('High')&&(Q2).is('Primary hypothyroidism')"]Serum Free T4 is LOW.  Serum T3 is NORMAL or LOW.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('High')&&(Q2).is('Subclinical hypothyroidism')"]Serum Free T4 is NORMAL.  Serum T3 is NORMAL.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('High')&&(Q2).is('TSH-mediated hyperthyroidism')"]Serum Free T4 is HIGH.  Serum T3 is HIGH.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('Euthyroid')"]Serum Free T4 is NORMAL.  Serum T3 is NORMAL.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('Euthyroid hyperthyroxinemia')"]Serum Free T4 is NORMAL or HIGH.  Serum T3 is NORMAL or HIGH.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('Euthyroid hypothyroxinemia')"]Serum Free T4 is NORMAL or LOW.  Serum T3 is NORMAL or LOW.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('Euthyroid - triiodothyronine therapy')"]Serum Free T4 is LOW.  Serum T3 is NORMAL or HIGH.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('Euthyroid - thyroid extract therapy')"]Serum Free T4 is LOW NORMAL or LOW.  Serum T3 is NORMAL or HIGH.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('TSH-mediated hyperthyroidism')"]Serum Free T4 is HIGH.  Serum T3 is HIGH.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Normal')&&(Q3).is('Central hypothyroidism')"]Serum Free T4 is LOW or LOW-NORMAL.  Serum T3 is LOW or NORMAL.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Low')&&(Q4).is('Hyperthyroidism')"]Serum Free T4 is HIGH or NORMAL.  Serum T3 is HIGH.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Low')&&(Q4).is('Subclinical hyperthyroidism')"]Serum Free T4 is NORMAL.  Serum T3 is NORMAL.  [/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('Low')&&(Q4).is('Central hypothyroidism')"]Serum Free T4 is LOW or LOW-NORMAL.  Serum T3 is LOW or NORMAL.  [/conditional]