Endocrinology Assessment

General endocrinology consultation assessment covering the thyroid, adrenal, glucose, reproductive, pituitary, and bone/calcium axes, integrating symptom review, clinical examination, and laboratory findings to characterize endocrine disturbance and guide management.

Scoring

Instrument: Endocrine Symptom & Biochemical Review (aligned to NICE endocrinology guidelines). Per axis: Normal (indices within reference range), Subclinical (biochemical abnormality without symptoms), or Mild/Moderate/Severe (progressive symptomatic disturbance requiring treatment escalation).

What it covers

Demographics; presenting symptoms; thyroid axis review (TSH, FT4, FT3, antibodies); adrenal axis review (cortisol, ACTH, aldosterone); glucose metabolism (HbA1c, fasting glucose); reproductive axis (FSH, LH, testosterone/oestradiol); pituitary function (prolactin, IGF-1, GH); bone and calcium (PTH, vitamin D, calcium); medications and lifestyle review; and clinical impression with a management plan.

Common pitfalls

• Reviewing one axis in isolation — endocrine axes interact (e.g. thyroid and reproductive hormones, or pituitary conditions affecting multiple downstream axes); a single-axis focus can miss the actual underlying disturbance.
• Treating "subclinical" as "no action needed" — subclinical biochemical abnormalities can still warrant monitoring or treatment depending on the specific axis and patient context; the category isn't automatically benign.
• Interpreting a single lab value without repeat confirmation — several endocrine tests (e.g. TSH, cortisol) are sensitive to timing, stress, or acute illness; a single abnormal value often needs confirmation before acting on it.

Learn more

• FormExamples: endocrinology-assessment for the full implementation, clinical references, and worked examples.
• Diabetes Assessment for the glucose-axis-specific counterpart.