What labs should be monitored after thyroidectomy?

It is important to monitor both calcium and magnesium levels after total thyroidectomy and to correct deficiencies to facilitate prompt resolution of symptoms.

Can you have a thyroid storm after thyroidectomy?

Thyroid storm in the past most frequently occurred after surgery, but this is now unusual. Occasionally it occurs as a manifestation of untreated or partially treated thyrotoxicosis without another apparent precipitating factor.

Do you check TSH after thyroidectomy?

A previously normal TSH level should be rechecked at least biannually in an asymptomatic patient post-thyroid lobectomy or total thyroidectomy. A previously abnormal TSH level should be rechecked in, at minimum, 7 weeks or 2 month intervals until levels stabilize.

Why would you have thyroid storm after thyroidectomy?

Thyroid storm may be precipitated by the stress of surgery, anesthesia, or thyroid manipulation and may be prevented by pretreatment with antithyroid drugs (ATDs). Improved preoperative management has markedly decreased the incidence of this complication.

What causes thyroid storm after thyroidectomy?

Which of the following laboratory values are indicative of thyrotoxicosis?

Hyperthyroidism and thyrotoxicosis are marked by TSH levels suppressed below the reference range (usually 0.4-4 mIU/L) and elevated thyroid hormone levels.

What is the difference between thyrotoxicosis and thyroid storm?

Thyrotoxicosis is a common endocrine condition that may be secondary to a number of underlying processes. Thyroid storm (also known as thyroid or thyrotoxic crisis) represents the severe end of the spectrum of thyrotoxicosis and is characterized by compromised organ function.

What should TSH be with no thyroid?

TSH normal values are 0.5 to 5.0 mIU/L. Pregnancy, a history of thyroid cancer, history of pituitary gland disease, and older age are some situations when TSH is optimally maintained in different range as guided by an endocrinologist. FT4 normal values are 0.7 to 1.9ng/dL.

When do you repeat TSH after thyroidectomy?

When L-thyroxine replacement therapy is given after surgery for non-malignant thyroid disease, the target range for the serum TSH concentration is 1 to 2 mIU/L. After any change in the L-thyroxine dose or the clinical circumstances, rechecking the TSH level in 4 to 6 weeks is recommended.