Information for GPs

Results needed for consultation

Thyroid nodules:

  • Biopsy for nodules over 1cm
  • Thyroid ultrasound
  • Thyroid function tests
  • Calcium and corrected levels

Graves’s disease:

  • Thyroid function tests
  • Thyroid ultrasound or Nuclear Medicine Scan

Hyperparathyroidism:

  • Sestamibi scan
  • Parathyroid hormone levels
  • Calcium and corrected calcium levels
  • Albumin levels

Adrenal:

  • CT scan
  • 24 hour urinary catecholamines and cortisol
  • Aldo/Renin ratio
  • DHEAS
  • Serum Electrolytes

Post Operative care and medication reduction…

Wound dressing – Patients are asked to leave their wound dressing on for about 2 weeks. If this is removed or falls off please advise patients to replace it using ‘Micropore’ tape. This needs to be changed every 2-3 days.

Infection – If patient presents with any signs of infection please arrange review with myself and consider the need for antibiotics.

Hematoma – If patient presents with a hematoma please arrange an urgent review with myself or refer patient to the closest Emergency Department.

Post operative blood work – Patients are asked to visit their GP on a weekly basis after thyroid and parathyroid surgery to monitor their calcium and thyroid function levels.

If your patient has been discharged on just Caltrate tablets:

  • On discharge they will normally be on 2 Caltrate twice a day
  • If calcium is normal at one week reduce to 1 Caltrate twice a day
  • If calcium is normal the next week reduce to 1 Caltrate daily
  • If calcium is normal the next week cease Caltrate

If your patient has been discharged on just Caltrate & Rocaltrol:

  • On discharge they will normally be on 2 Caltrate + 2 Rocaltrol twice a day
  • If calcium is normal at one week reduce to 1 Caltrate twice a daily + 1 Rocaltrol twice a day
  • If calcium is normal the next week reduce to 1 Caltrate daily + 1 Rocaltrol daily
  • If calcium is normal the next week reduce to 1 Caltrate daily
  • If calcium is normal the next week reduce Cease Caltrate

For specialists in thyroid, parathyroid and adrenal surgery, contact Sydney Endocrine Surgery by clicking here.

Location

Level 2, Suite 202, 69 Christie Street,
St Leonards, NSW, 2065

Contact

Tel: 02 9437 1731
Fax: 02 9437 1732

Opening Hours

Monday - Friday 8:30am to 4:00pm