Summary Writer: Elizabeth Campbell
Editor: James Edwards
Interviewee: Ian Caterson
James talks to Professor Ian Caterson about an approach to thyroid disease.
Ian Caterson is currently Foundation Director of the Boden Institute of Obesity Nutrition Exercise and Eating Disorders and Boden Professor of Human Nutrition at the University of Sydney. He has held the latter position since 1997. Prior to that he was Senior Staff Specialist and Director of Clinical Endocrinology at Royal Prince Alfred Hospital.
He has been president of both the Australian Diabetes Society and the Australasian Society for the Study of Obesity and is president elect of the World Obesity Federation.
Ian is a recognised expert on obesity, its causes, prevention and management. He is on the Clinical Care group of World Obesity, Chairs the Expert Obesity Committee for the Australian National Preventive Health Agency and is on the Prevention and Community Health Committee of the NHMRC of Australia.
With Professor Ian Caterson, Consultant Endocrinologist at Royal Prince Alfred Hospital, New South Wales, Australia
Thyroid function tests are commonly ordered by junior doctors. Thyroid disease is common, and it is appropriate to order thyroid function tests in patients with known thyroid disease during a hospital admission. In clinical situations where you are worried that a patient may have hypothyroidism, hyperthyroidism, or where there is an obvious goitre, it is also appropriate to arrange thyroid function tests.
Case 1 – A 40 year old female admitted with ischaemic chest pain mentions she has gained weight and felt fatigued recently. Thyroid function tests show an elevated TSH and a low T4.
Case 2 – A 70 year old man in ICU with severe pneumonia has thyroid function tests which show a low T3 and TSH.
Case 3 – A 50 year old woman presents to ED with palpitations and tremor. She has noticed weight loss and a swelling in her neck recently.
If you enjoyed listening to this week’s podcast feel free to let us know what you think by posting your comments or suggestions in the comments box below.
If you want to listen to this episode while not connected to WiFi or the internet, you can download it. To find out more go to Apple support (https://support.apple.com/en-us/HT201859)