Sample Consults

CHIEF COMPLAINT
Diabetes plus Hyperthyroidism

COMMENTS TO SPECIALIST
This is a 71-year-old male with a history of controlled Atrial Fibrillation (AF).His recent labs were:

• January 2024
  • Thyroid-Stimulating Hormone (TSH): 6.900
  • Normal Thyroxine (T4): 7.4
• April 2024
  • TSH: 5.920
  • Normal T4: 6.5

He has had no history of thyroid disorder.

MAIN QUESTION
Could you provide recommendations for the next steps?  How often should TFTs be repeated? Would you categorize this patient as having subclinical hypothyroidism?

For reference only. This eConsult is based on an actual request for specialist consultation. The primary care provider, specialist, and patient are de-identified to protect private health information (PHI).