Thyroiditis Decision Tool

Thyroiditis Decision Tool
Summary: How to proceed when thyroiditis is suspected.
[select name="Q1" value="choose below...=-1|No=0|Yes=1"] <-- Thyroid Pain[conditional field="Q1" condition="(Q1).is('No=0')"]
[select name="Q2" value="choose below...=-1|No=0|Yes=10"] <-- Taking amiodarone, interferon alfa, interleukin-2, or kinase inhibitor[/conditional][conditional field="Q1|Q2" condition="(Q1).is('No=0')&&(Q2).is('No=0')"]
[select name="Q3" value="choose below...=-1|Low=0|High=100"] <-- TSH[/conditional][conditional field="Q1|Q2" condition="(Q1).is('No=0')&&(Q2).is('Yes=10')"]
DIAGNOSIS --> Drug-induced thyroiditis.[/conditional][conditional field="Q1|Q2|Q3" condition="(Q1).is('No=0')&&(Q2).is('No=0')"]
[select name="Q4" value="choose below...=-1|No=0|Yes=1000"] <-- Postpartum[/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('No=0')&&(Q2).is('No=0')&&(Q3).is('High=100')&&(Q4).is('No=0')"]
DIAGNOSIS --> Hashimoto or silent thyroiditis of subacute thyroiditis (hypothyroid phase).[/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('No=0')&&(Q2).is('No=0')&&(Q3).is('High=100')&&(Q4).is('Yes=1000')"]
DIAGNOSIS --> Postpartum or Hashimoto thyroiditis (hypothyroid phase).[/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('No=0')&&(Q2).is('No=0')&&(Q3).is('Low=0')"]
[select name="Q5" value="choose below...=-1|Low=0|High=10000"] <-- Thyroid scan with radioactive iodine uptake[/conditional][conditional field="Q1|Q2|Q3|Q4|Q5" condition="(Q1).is('No=0')&&(Q2).is('No=0')&&(Q3).is('Low=0')&&(Q4).is('No=0')&&(Q5).is('Low=0')"]
DIAGNOSIS --> Silent or subacute thyroiditis (hyperthyroid phase).[/conditional][conditional field="Q1|Q2|Q3|Q4|Q5" condition="(Q1).is('No=0')&&(Q2).is('No=0')&&(Q3).is('Low=0')&&(Q5).is('High=10000')"]
DIAGNOSIS --> Graves disease.[/conditional][conditional field="Q1|Q2|Q3|Q4|Q5" condition="(Q1).is('No=0')&&(Q2).is('No=0')&&(Q3).is('Low=0')&&(Q4).is('Yes=1000')&&(Q5).is('Low=0')"]
DIAGNOSIS --> Postpartum thyroiditis (hyperthyroid phase).[/conditional][conditional field="Q1" condition="(Q1).is('Yes=1')"]
[select name="Q6" value="choose below...=-1|No=0|Yes=100000"] <-- Toxic-appearing patient.[/conditional][conditional field="Q1|Q6" condition="(Q1).is('Yes=1')&&(Q6).is('Yes=100000')"]
DIAGNOSIS --> Infectious thyroiditis.[/conditional][conditional field="Q1|Q6" condition="(Q1).is('Yes=1')&&(Q6).is('No=0')"]
[select name="Q7" value="choose below...=-1|No=0|Yes=1000000"] <-- History of Radiation or Trauma[/conditional][conditional field="Q1|Q6|Q7" condition="(Q1).is('Yes=1')&&(Q6).is('No=0')&&(Q7).is('Yes=1000000')"]
DIAGNOSIS --> Radiation- or trauma-induced thyroiditis[/conditional][conditional field="Q1|Q6|Q7" condition="(Q1).is('Yes=1')&&(Q6).is('No=0')&&(Q7).is('No=0')"]
[select name="Q8" value="choose below...=-1|No=0|Yes=10000000"] <-- Low TSH and High Thyroglobulin Level[/conditional][conditional field="Q1|Q6|Q7|Q8" condition="(Q1).is('Yes=1')&&(Q6).is('No=0')&&(Q7).is('No=0')&&(Q8).is('No=0')"]
DIAGNOSIS --> Thyroid hemorrhage[/conditional][conditional field="Q1|Q6|Q7|Q8" condition="(Q1).is('Yes=1')&&(Q6).is('No=0')&&(Q7).is('No=0')&&(Q8).is('Yes=10000000')"]
DIAGNOSIS --> Subacute thyroiditis[/conditional]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:  
[link url="//www.aafp.org/afp/2006/0515/p1769.html" memo="#1"] Am Fam Physician. 2006 May 15;73(10):1769-1776.
[/conditional]