Case by case: back pain

Dr Adam Woo on red flags for spinal pathology, managing medications for back pain and screening tools for primary care

1.5 CPD hours

Ten ways to tempt trainees or new GPs into partnership

Dr Heather Ryan suggests how practices can attract GPs to join as partners during or just after training

1 CPD hour

Key questions on eating disorders

Dr Dominique Thompson on diagnostic criteria for anorexia, managing ‘borderline’ cases and investigations in bulimic patients

1 CPD hour
Case-Based Learning


Module summary

This interactive module updates you on diagnosis and treatment of both overt and subclinical hypothyroidism, as well as how to manage the condition in pregnancy

Learning objectives

To improve your understanding of:

  • Clinical features of hypothyroidism
  • Treatment pathways for overt and subclinical hypothyroidism
  • Initial management of hypothyroidism in pregnancy


In this interactive module, you will learn as you work through real-life primary care patient scenarios. You will be assessed before starting the module and again at the end, to gauge how your knowledge has improved.

You don’t have to complete the whole module in one sitting. You can break off at any point mid-module and pick up again where you left off by pressing the Resume Module button alongside the module title in your Pulse-Learning CPD log.


Dr Bijay Vaidya is a consultant endocrinologist at Royal Devon & Exeter Hospital, Exeter.

This module has been developed by Pulse Learning’s team of medical writers and editors, and peer reviewed by our GP advisers. It was first published in June 2013, but was revised and updated in February 2015 by Dr Bijay Vaidya to incorporate new guidance, research and changes to therapy, including new guidelines from the American Thyroid Association.

Date module published
Module due for review
Suggested number of CPD credits
Completing this module will earn you a certificate for a suggested
1.5 CPD hours
By showing evidence of impact you could double that to
3 CPD hours
What other GPs said after completing this module
very good
Ronald Kok
Very good
Alexander Marshall
Excellent and relevant to primary care
Erika Baker
Mark Davies
Very practical
Andrea Gyeresy