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AN OVERVIEW OF DIAGNOSIS AND MANAGEMENT OF HYPOTHYROIDISM IN FAMILY MEDICINE

Dr. Ahmed Twafeq Dr. Hesham Alqahtani, Dr. Mohammed Kadasah Dr. Abduallah Alhammad

Hypothyroidism commonly manifests as a slowing in physical and mental activity but may be asymptomatic. The purpose of this review is to present an updated evidence-based framework for the diagnosis, treatment of hypothyroidism in primary care. We Conducted a comprehensive computerized review of literature reporting hypothyroidism assessment in primary care by family physicians published in English language until end of 2018., published in English language up to 2018. Hypothyroidism is dealt with by recommending an oral thyroid hormone prep work (typically levothyroxine, a T4 preparation). The dosage should suffice enough to recover regular thyroid hormone levels without creating poisoning from way too much thyroid hormone. TSH levels are monitored to help optimize the dose of T4. TSH is created by the pituitary gland in reaction to thyroid hormone degrees. So when thyroid hormonal agent degrees are reduced (as in hypothyroidism), TSH levels respond by enhancing, in an effort to "whip" a lot more thyroid hormone out of the thyroid gland. When hypothyroidism is adequately dealt with, TSH levels generally drop back down into the typical range. So, a mainstay in identifying the best dosage of T4 is measuring TSH degrees.

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