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The focus of the MCG Pediatric Podcast is to produce educational material on pediatric general and subspecialty topics that will be helpful in everyday clinical practice. These discussions will be led by our pediatric residents with a general or subspecialty faculty member who is an expert in the field.
Episodes
Saturday May 15, 2021
Congenital Hypothyroidism
Saturday May 15, 2021
Saturday May 15, 2021
TITLE: Congenital Hypothyroidism
Last Updated: April 30, 2021
PARTICIPANTS:
- Host: Dr. Zachary Hodges
- Learner: Dr. John Baek
- Specialist: Dr. Jacqueline Chan
PEER REVIEWERS:
- Dr. Christopher Houk
- MCG Pediatric Podcast Committee
Free CME Credit: https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=7771
Learning Objectives:
After listening to this podcast, learners should be able to:
- Recall the incidence of and risk factors associated with congenital hypothyroidism.
- Understand the importance of early diagnosis and the harms of delayed treatment.
- Understand the normal hypothalamic-pituitary-thyroid axis.
- Understand the methods of newborn screening for congenital hypothyroidism and interpret abnormal results.
- Create a differential diagnosis for the potential causes of congenital hypothyroidism.
- Recognize findings on physical exam that would support the diagnosis of congenital hypothyroidism.
- Interpret confirmatory testing required to diagnose congenital hypothyroidism.
- Recognize that interpreting thyroid function tests should be considered in the context of special circumstances (i.e., premature infants).
- Initiate appropriate treatment for suspected congenital hypothyroidism.
- Understand the prognosis, need for continued close follow-up and common methods of weaning thyroid replacement therapy.
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia.
If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios
References:
- Alejandro Diaz and Elizabeth G. Lipman Diaz. Hypothyroidism. Pediatrics in Review August 2014, 35 (8) 336-349; DOI: https://doi.org/10.1542/pir.35-8-336
- Agrawal P, Philip R, Saran S, et al. Congenital hypothyroidism. Indian J Endocrinol Metab. 2015;19(2):221-227. doi:10.4103/2230-8210.131748
- Bowden SA, Goldis M. Congenital Hypothyroidism. [Updated 2020 Jun 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558913/
- Gammons S, Presley BK, White PC. Referrals for Elevated Thyroid Stimulating Hormone to Pediatric Endocrinologists. J Endocr Soc. 2019;3(11):2032-2040. Published 2019 Sep 16. doi:10.1210/js.2019-00244
- Alejandro Diaz and Elizabeth G. Lipman Diaz. Hypothyroidism. Pediatrics in Review August 2014, 35 (8) 336-349; DOI: https://doi.org/10.1542/pir.35-8-336
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