practiceguidelinesforthyroiddisorders.docVIP

Practice Guidelines for Thyroid Disorders The Malaysian Consensus 2000 CPG 1/2000 FOREWORD Thyroid disorders together with diabetes mellitus are the most common and prevalent endocrine and metabolic diseases in this country. Thus, having completed a guideline on the management of type 2 diabetes mellitus, the Malaysian Endocrine and Metabolic Society (MEMS) took the task to prepare the Malaysian Consensus for Practice Guidelines for Thyroid Disorders. These guidelines hopefully will be of use to assist practising doctors in the management of patients with thyroid disorders. The draft for the guidelines was drawn up by members of the Malaysian Endocrine and Metabolic Society during the two meetings in February and May 1998. Following this, three consensus development workshops were held to discuss the draft and to agree on this Malaysian Consensus for Practice Guidelines for Thyroid Disorders. On behalf of MEMS, I would like to thank the Academy of Medicine and Ministry of Health for their collaboration and support in preparation of this consensus. I would also like to express the Society’s appreciation and gratitude for the participation of representatives of the Ministry of health, College of Physicians, College of Surgeons, Malaysian Medical Association and Malaysian Paediatric Association in developing this consensus. Finally, my personal word of thanks to YBhg Professor Dato’ Khalid Abdul Kadir and Associate Professor Ng Mee Lian, who have generously contributed their time and energy to make this consensus a realisation. Professor Dato’ Mustaffa Embong President Malaysian Endocrine and Metabolic Society (MEMS) CONTENTS FOREWORD 1 TASKFORCE AND CONTRIBUTORS 4 LIST OF ABBREVIATIONS 8 THYROTOXICOSIS Clinical Features 9 Laboratory Investigations 10 Management Medical Treatment 11 Surgery 13 Radioiodine Therapy 13 Management of Complications T