Scribd
Upload
128 views1 page

Thyroid Function Ordering Algorithm

This document outlines a thyroid function ordering algorithm for nonhospitalized patients without known or suspected pituitary disease. It recommends beginning evaluation by ordering either a thyroid function cascade or individual tests starting with thyroid-stimulating hormone. It provides guidance on additional tests to order based on the thyroid-stimulating hormone level.

Uploaded by

MVKDSP Rao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
128 views1 page

Thyroid Function Ordering Algorithm

This document outlines a thyroid function ordering algorithm for nonhospitalized patients without known or suspected pituitary disease. It recommends beginning evaluation by ordering either a thyroid function cascade or individual tests starting with thyroid-stimulating hormone. It provides guidance on additional tests to order based on the thyroid-stimulating hormone level.

Uploaded by

MVKDSP Rao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Thyroid Function Ordering Algorithm

Nonhospitalized patients without


known or suspected pituitary disease

Begin evaluation by ordering either the cascade approach


THSCM / Thyroid Function Cascade, Serum

(all appropriate tests are performed automatically)


or order each test individually, beginning with
STSH / Thyroid-Stimulating Hormone-Sensitive (s-TSH), Serum

s-TSH
Functional sensitivity: 0.01 mIU/L

<0.10 mIU/L* 0.100.29 mIU/L* 0.304.2 mIU/L* >4.2 mIU/L*

Hyperthyroid suspect Borderline low TSH No further testing Hypothyroid suspect


unless clinically indicated

Order Free T4: Order Free T4: Order Free T4 and TP0:
FRT4 / T4 (Thyroxine), FRT4 / T4 (Thyroxine), FRT4 / T4 (Thyroxine), Free, Serum

Free, Serum Free, Serum TPO / Thyroperoxidase (TPO)

Antibodies, Serum

If Free T4 is normal

Order Total T3:


T3 / T3 (Triiodothyronine),
Total, Serum

* Adult s-TSH reference ranges. See Laboratory Test Catalog for pediatric reference ranges.
In patients receiving therapy with high biotin doses (>5 mg/day) there should be an interval
of at least 8 hours between the last biotin administration and collection of the sample.

Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.
MAYO, Mayo Medical Laboratories and the triple-shield Mayo logo are trademarks and/or service marks of MFMER. 10/2016

You might also like