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LABORATORY TESTING STRATEGY for THYROID 
DYSFUNCTION 
THRYOID DISEASES 
OVERT CLINICAL 
MANIFESTATION 
History taking & physical 
examination 
MINIMAL CLINICAL 
MANIFESTATION 
TSHs TSHs + FT4 
HYPERTHYROIDISM HYPOTHYROIDISM 
TSHs + FT4 TSHs + FT4 
HYPERTHYROIDISM HYPOTHYROIDISM 
TSHs TSHs 
SUBCLINICAL HYPOTHYROIDISM: normal Free-T4, high TSHs 
SUBCLINICAL HYPERTHYROIDISM: normal Free-T4, low TSHs

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Lab tes thyroid dysfunction

  • 1. LABORATORY TESTING STRATEGY for THYROID DYSFUNCTION THRYOID DISEASES OVERT CLINICAL MANIFESTATION History taking & physical examination MINIMAL CLINICAL MANIFESTATION TSHs TSHs + FT4 HYPERTHYROIDISM HYPOTHYROIDISM TSHs + FT4 TSHs + FT4 HYPERTHYROIDISM HYPOTHYROIDISM TSHs TSHs SUBCLINICAL HYPOTHYROIDISM: normal Free-T4, high TSHs SUBCLINICAL HYPERTHYROIDISM: normal Free-T4, low TSHs