Urgent Referral

Clinical Findings

URGENT REFERRAL IF:

  • Asymmetric gland
  • Increasing size or causing discomfort
  • Abnormal thyroid biopsy

Referral Timeframe

URGENT: Call MD on-call to discuss and start treatment. If symptomatic, call MD on-call to discuss
On-Call Phone #
Day: (512) 628-1830
After Hours: (512) 323 5465

Pre-Referral Workup

  • If asymmetric, enlarging in size, or palpable node, obtain thyroid ultrasound
  • Current TSH, Total T4 or Free T4, Anti-Thyroglobulin Antibodies and Anti-TPO Antibodies

Referral Requirements

All clinical notes and laboratory records including growth chart

Routine Referral

Clinical Findings

ROUTINE REFERRAL IF:

  • Abnormal TSH, Total T4, or Free T4
  • Abnormal thyroid antibodies
  • Abnormal thyroid ultrasound showing goiter, multiple small nodules

Referral Timeframe

If questions, call MD on-call to discuss

Pre-Referral Workup

Current TSH, Total T4 or Free T4, Anti-Thyroglobulin Antibodies and Anti-TPO Antibodies

Referral Requirements

  • All clinical notes and laboratory records including growth chart
  • Imagins studies
  • If palpable nodule, see Thyroid Nodule section
  • If abnormal thyroid function tests, see Hypothyroid or Hyperthyroid section