Interventions for Thyroid Disorders

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Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate community to create awareness identify thyroid disorder symptoms early	Prevent iodine deficiency Iodized salt	Recognition of thyroid disorder signs and symptoms	Immediate transfer of suspected thyroid disorder cases to a higher-level health care facility	Adherence to medication Physical exercise training
Primary Care
Educate community to create awareness identify thyroid disorder symptoms early	Prevent iodine deficiency	History Physical examination Thyroid function tests Ultrasound Thyroid scan TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy	Replacement of thyroid hormone Antithyroid drugs Iodine supplementation	Adherence to medication Physical exercise training
Referral Facility: General
		History Physical examination Thyroid function tests Ultrasound	Thyroid hormone Antithyroid drugs Iodine supplementation	Adherence to medication Physical exercise training
Referral Facility: Specialist
		History Physical examination Thyroid function tests TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy Thyroid scan	Replacement of thyroid hormone Antithyroid drugs Surgery Radioiodine therapy Percutaneous ablative procedures	Adherence to medication Physical exercise training

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate community to create awareness identify thyroid disorder symptoms early	Prevent iodine deficiency Iodized salt	Recognition of thyroid disorder signs and symptoms	Immediate transfer of suspected thyroid disorder cases to a higher-level health care facility	Physical exercise training
Primary Care
Educate community to create awareness identify thyroid disorder symptoms early	Prevent iodine deficiency	History Physical examination Thyroid function tests Ultrasound Thyroid scan TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy	Replacement of thyroid hormone Antithyroid drugs Iodine supplementation	Physical exercise training
Referral Facility: General
		History Physical examination Thyroid function tests Ultrasound	Thyroid hormone Antithyroid drugs Iodine supplementation	Physical exercise training
Referral Facility: Specialist
		History Physical examination Thyroid function tests TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy Thyroid scan	Replacement of thyroid hormone Antithyroid drugs Surgery Radioiodine therapy Percutaneous ablative procedures	Physical exercise training

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate community to create awareness identify thyroid disorder symptoms early	Prevent iodine deficiency during pregnancy Iodized salt	Recognition of thyroid disorders signs and symptoms	Immediate transfer of suspected thyroid disorder cases to a higher-level health care facility	Physical exercise training
Primary Care
Health education on early identification and treatment of thyroid disorders	Prevent iodine deficiency during pregnancy	History Physical examination Thyroid function tests Ultrasound Thyroid scan TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy	Replacement of thyroid hormone Anti-thyroid drugs Lugol solution (potassium iodide)	Physical exercise training
Referral Facility: General
		History Physical examination Thyroid function tests Ultrasound	Replacement of thyroid hormone Anti-thyroid drugs Lugol solution (potassium iodide)	Physical exercise training
Referral Facility: Specialist
		History Physical examination Thyroid function tests TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy Thyroid scan	Replacement of thyroid hormone Anti-thyroid drugs	Physical exercise training

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate community to create awareness identify thyroid disorder symptoms early	Prevent iodine deficiency during pregnancy Iodized salt	Recognition of thyroid disorders signs and symptoms	Immediate transfer of suspected thyroid disorder cases to a higher-level health care facility
Primary Care
Health education on early identification and treatment of thyroid disorders	Prevent iodine deficiency during pregnancy	History Physical examination Thyroid function tests Ultrasound Thyroid scan TSH receptor (thyroid-stimulating immunoglobulins [TSI] TSH receptor antibodies [TRAb]) Fine-needle aspiration (FNA) biopsy	Replacement of thyroid hormone Antithyroid drugs Lugol solution (potassium iodide)
Referral Facility: General
Health education on early identification and treatment of thyroid disorders		History Physical examination Mental assessment Thyroid function tests Ultrasound	Replacement of thyroid hormone Antithyroid drugs Lugol solution (potassium iodide)
Referral Facility: Specialist
			Replacement of thyroid hormone Antithyroid drugs