Acquired Hyperthyroidism or Autoimmune Hyperthyroidism (Grave’s Disease)

Clinical Findings

  • Hypertension
  • Tachycardia
  • Goiter
  • Exophthalmos
  • TSH < 0.1 uU/ml
  • Elevated Total T4 or Free T4,T3

Referral Timeframe

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

Pre-Referral Workup

Current TSH, Total T4 or Free T4, Total T3, Thyroid Stimulating Immunoglobulin (TSI), Thyrotropin Binding Immunoglobulin (TBII), Anti-Thyroglobulin Antibody, Anti-TPO Antibody

Referral Requirements

All clinical notes and laboratory records including growth chart

Neonatal Hyperthyroidism

Clinical Findings

  • Maternal history of Graves Disease
  • Hypertension
  • Tachycardia
  • Failure to Thrive
  • Low TSH
  • Elevated Total T4 or Free T4

Referral Timeframe

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

Pre-Referral Workup

  • TSH, Total T4 or Free T4, Total T3, Thyroid Stimulating Immunoglobulin (TSI), Thyrotropin-Binding Immunoglobulin (TBII)
  • If possible, check maternal Anti-TPO Antibody, Anti-Thyroglobulin Antibody and TSI/TBII

Referral Requirements

All clinical notes and laboratory records including growth chart