North South North West Statewide
This clinic accepts referrals for the investigation and management of non-malignant thyroid disease including hyperthyroidism, hypothyroidism, nodular thyroid disease, goitre and management of post parathyroidectomy hypoparathyroidism.
All referrals should comply to referral standards and also include:
- Onset of symptoms
- Current medications especially thyroid hormones
- Family history of thyroid disease
- Size and description of thyroid gland – enlarged, smooth or nodular?
- Associated eye signs
- Weight loss/gain and appetite
- Signs or symptoms of cardiac disease
- T4 and T3
- Thyroid antibodies
To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.
Hypothyroidism is usually a general practice condition unless the symptoms fail to respond to treatment and all patients should be started on Thyroxine replacement.Hyperthyroidism with Grave's disease can be started on carbimazole +/- beta blocker in discussion with endocrinologist while waiting for appointment. Do not perform neck ultrasound unless palpable nodule or goitre.
For more information please see the Tasmanian Health Pathways website.
Clinically severe hyperthyroidism complicated by cardiac, respiratory failure.
Neutropenia in patients taking carbimazole or propylthiouracil
Possible tracheal or superior vena caval obstruction from retrosternal thyroid enlargement
Semi-urgent / category 2
Newly diagnosed hyperthyroidism
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405 Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100 Fax: (03) 6173 0489
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment