TY  - CHAP
M1  - Book, Section
TI  - Thyroid Disease
A1  - Whinney, Christopher M.
A2  - Cohn, Steven L.
Y1  - 2021
N1  - 
T2  - Decision Making in Perioperative Medicine: Clinical Pearls
AB  - Thyroid  dysfunction  is  ubiquitous  in  the  general  population,  with  approximately  4–21%  of  females  and  3–16%  of  males  having  abnormal  thyrotropin  (thyroid-stimulating  hormone  or  TSH)  values.1  Thyroid  hormones  affect  several  systemic  functions  that  impact  the  perioperative  period.  While  routine  testing  of  thyroid  parameters  in  patients  with  known  stable  disease  is  not  necessary,  clinical  assessment  of  patients  with  known  or  suspected  thyroid  dysfunction  and  optimization  of  these  conditions  are  essential  to  mitigating  adverse  perioperative  outcomes.  In  addition,  both  subclinical  and  overt  hyperthyroidism  and  hypothyroidism  are  present  in  millions  of  patients,  so  a  higher  index  of  suspicion  is  warranted  to  recognize  these  subclinical  variants  and  determine  if  management  changes  in  the  perioperative  period  are  warranted.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1179531151
ER  -