SCREENING FOR THYROID DISEASE

I. Recommendations of ACP-ASIM guidelines (Ann. Int. Med. 129:141, 1998)

1. "It is reasonable" to screen (with TSH) all women > 50yo for clinically inapparent symptomatic thyroid disease
2. If TSH undetectable or > 10mU/l then check free T4

II. The American Academy of Clinical Endocrinologists recommends screening symptomatic women and women > 40yo with family h/o thyroid disease

III. Not recc'd in asymptomatic individuals by USPSTF, ACOG, AAFP 2005