Hyperthyroidism
Emergency referrals
Phone on call Diabetic and Endocrinology Registrar via:
- Royal Brisbane & Women’s Hospital switch - (07) 3646 8111
- The Prince Charles Hospital switch - (07) 3139 4000
- Redcliffe Hospital switch – (07) 3883 7777
- Caboolture Hospital switch – (07) 5433 8888
and send patient to the Department of Emergency Medicine (DEM) at their nearest hospital.
Does your patient wish to be referred?
Minimum referral criteria
Does your patient meet the minimum referral criteria?
Category 1
Appointment within 30 days is desirable
- Severe thyroid eye disease
- Pregnant
- Newly diagnosed symptomatic thyrotoxicosis with T4 and/or T3 >2x normal
- Inadequate response to anti-thyroid medication or intolerant of medication
Category 2
Appointment within 90 days is desirable
- Hyperthyroidism that is stable with GP initiated therapy or T4 and/or T3 <2x normal
Category 3
Appointment within 365 days is desirable
- No category 3 criteria
If your patient does not meet the minimum referral criteria
Consider other treatment pathways or an alternative diagnosis.
If you still need to refer your patient:
- Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
- Please note that your referral may not be accepted or may be redirected to another service
Other important information for referring practitioners
Not an exhaustive list
- Refer to Healthpathways or local guidelines
- No USS is required in the routine assessment of hyperthyroidism or hypothyroidism
- Avoid iodinated contrast agents wherever possible if suspected thyroid disease
- Consider ß blocker for symptom control
- Repeat TFTs within a week of clinic appointment
- If hyperthyroidism is not due to excess exogenous thyroid hormone, transient thyroiditis or iodine load, then start carbimazole (or PTU if pregnancy possible). Note that serious adverse reactions to these drugs are not uncommon and patients must be fully informed
Referral requirements
A referral may be rejected without the following information.
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
Access to Health Pathways is free for clinicians in Metro North Brisbane.
For login details email:
healthpathways
Login to Brisbane North Health Pathways:
brisbanenorth.