The Curbsiders Internal Medicine Podcast

#208 Hypothyroidism Master Class with Susan Mandel MD - How to dominate the diagnosis and management

Apr 20, 2020
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ANECDOTE

Personal Growth and Theater Anecdote

  • Dr. Susan Mandel shared seeing her career evolve alongside parenting two children.
  • She recounted an enjoyable experience attending a production of "Waiting for Godot" featuring her son.
ADVICE

Use TSH for Diagnosis

  • Hypothyroidism symptoms are nonspecific and vary greatly among individuals.
  • Use TSH testing to confirm diagnosis as physical signs usually appear only in extreme cases.
ADVICE

Testing Thresholds for Hypothyroidism

  • Screen for hypothyroidism only in symptomatic patients, not asymptomatic individuals.
  • Symptoms like fatigue, menstrual changes, and depression are valid reasons to test TSH.
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