The Curbsiders Internal Medicine Podcast

#208 Hypothyroidism Master Class with Susan Mandel MD - How to dominate the diagnosis and management


Listen Later

Fall in love with the thyroid all over again, as we deconstruct hypothyroidism with thyroid expert, Susan Mandel MD, MPH (PENN). We review common causes, symptoms, diagnosis and treatment and how these may differ for those who are Pregnant, over age 65, or have existing Heart disease. Plus, Dr Mandel schools us on her approach to treatment with levothyroxine (T4), and even explains when she trials liothyronine (T3) replacement! Warm up those thumbs for the thyroid exam...it’s on!

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!


Credits
  • Written and Produced by: Elena Gibson MD
  • Cover art and Infographic by: Dr Kate Grant MBChb MRCGP
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Emi Okamoto (written materials); Clair Morgan of nodderly.com
  • Guest: Susan Mandel MD, MPH


  • Sponsor: VCU Health CE


    Time Stamps
    • 00:00 Intro, disclaimer, guest bio
    • 02:43 Guest one-liner; Pick of the week: Waiting for Godot (Play); Favorite Failure; Career Advice
    • 09:40 Case from Kashlak Part one; Hypothyroidism signs and symptoms
    • 13:20 When to Test for Hypothyroidism
    • 17:43 Biotin interaction
    • 19:49 Which thyroid tests should we order?
    • 26:15 Subclinical hypothyroidism
    • 29:00 Etiology/Types of hypothyroidism
    • 33:30 Case from Kashlak Part two; Initial Medication dosing; Physical Exam
    • 37:10 Levothyroxine replacement time of administration
    • 42:10 TSH goal
    • 46:00 Levothyroxine manufacturers
    • 48:33 Dosing in older adults
    • 50:27 T3 treatment
    • 56:52 Pregnancy
    • 59:42 Dose adjustments
    • 61:43 Estrogen and thyroid binding protein
    • 63:33 Who needs a referral?
    • 65:40 Plugs, Outro
      ...more
      View all episodesView all episodes
      Download on the App Store

      The Curbsiders Internal Medicine PodcastBy The Curbsiders Internal Medicine Podcast

      • 4.8
      • 4.8
      • 4.8
      • 4.8
      • 4.8

      4.8

      3,178 ratings


      More shows like The Curbsiders Internal Medicine Podcast

      View all
      AFP: American Family Physician Podcast by American Academy of Family Physicians

      AFP: American Family Physician Podcast

      695 Listeners

      JAMA Clinical Reviews by JAMA Network

      JAMA Clinical Reviews

      496 Listeners

      Core EM - Emergency Medicine Podcast by Core EM

      Core EM - Emergency Medicine Podcast

      251 Listeners

      Mayo Clinic Talks by Mayo Clinic

      Mayo Clinic Talks

      291 Listeners

      Frankly Speaking About Family Medicine by Pri-Med

      Frankly Speaking About Family Medicine

      260 Listeners

      Core IM | Internal Medicine Podcast by Core IM Team

      Core IM | Internal Medicine Podcast

      1,153 Listeners

      Annals On Call Podcast by American College of Physicians

      Annals On Call Podcast

      195 Listeners

      The Internet Book of Critical Care Podcast by Adam Thomas & Josh Farkas

      The Internet Book of Critical Care Podcast

      703 Listeners

      The Clinical Problem Solvers by The Clinical Problem Solvers

      The Clinical Problem Solvers

      513 Listeners

      Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

      Harrison's PodClass: Internal Medicine Cases and Board Prep

      365 Listeners

      Run the List by Walker Redd, Emily Gutowski, Navin Kumar, Joyce Zhou, Blake Smith

      Run the List

      252 Listeners

      Cardionerds: A Cardiology Podcast by CardioNerds

      Cardionerds: A Cardiology Podcast

      432 Listeners

      The Curious Clinicians by The Curious Clinicians

      The Curious Clinicians

      369 Listeners

      The Cribsiders by The Cribsiders

      The Cribsiders

      314 Listeners

      Critical Care Time by Critical Care Time Podcast

      Critical Care Time

      234 Listeners