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THYROID EMERGENCIES Thyroid Storm • The diagnosis of thyroid storm is clinical. Both the BWPS and JTA diagnostic tools could be used to aid diagnosis, but we recommend the use of BWPS as this scoring tool is more sensitive. • High doses of PTU (500–1000 mg loading, then 250 mg, 4–6 hourly) should be used in thyroid storm.
3 Nov 2020 · OVERVIEW. life threatening exacerbation of hyperthyroid state with 1 or more organ dysfunction. CLINICAL FEATURES. may occur 6-24 hours post surgery. fever. sweating. HR >140/min. coma. nausea and vomiting. diarrhoea. MANAGEMENT. Supportive. IVF (glucose) cooling cares. paracetamol (no NSAIDs or aspirin -> displaces thyroxine from proteins)
29 Sep 2023 · The clinical manifestations, diagnosis, and management of thyroid storm will be reviewed here. The general topic of hyperthyroidism (without thyroid storm), including diagnosis, causes, and treatment, is reviewed separately.
Thyroid storm is diagnosed as a combination of thyroid function studies showing low to undetectable thyroid stimulating hormone (TSH) (<0.01mU/L) with elevated free thyroxine (T4) and/or triiodothyronine (T3), positive thyroid receptor antibody (TRab) (if Graves’ disease is the underlying etiology), and with clinical signs and symptoms of end or...
6 Okt 2022 · Treatment / Management. Treatment of thyroid storm consists of supportive measures like intravenous (IV) fluids, oxygen, cooling blankets, acetaminophen, and specific measures to treat hyperthyroidism. If any precipitating factors, for example, infection, are present, that needs to be addressed.
8 Jun 2022 · Thyroid Storm. Thyroid storm is a rare and life-threatening condition that can affect people with hyperthyroidism. Common symptoms include having a high fever and a rapid heart rate. Thyroid storm is a medical emergency and needs to be treated in a hospital.
2 Apr 2017 · The approach to treatment of thyroid storm includes the following: Supportive measures. Antiadrenergic drugs. Thionamides. Iodine preparations. Glucocorticoids. Bile acid sequestrants....
4 Apr 2023 · The possibility should be entertained in the following situations: (1) Patient with known hyperthyroidism plus any acute illness/deterioration. (2) New-onset atrial fibrillation and/or dilated cardiomyopathy. (3) New-onset delirium/psychosis plus abnormal vital signs (fever, tachycardia).
2 Apr 2017 · Practice Essentials. Thyroid storm, also referred to as thyrotoxic crisis, is an acute, life-threatening, hypermetabolic state induced by excessive release of thyroid hormones (THs) in...
25 Jul 2018 · Graves' hyperthyroidism is treated by decreasing thyroid hormone synthesis with the use of ATD, or by reducing the amount of thyroid tissue with radioactive iodine (RAI) treatment or total thyroidectomy. Patients with newly diagnosed Graves' hyperthyroidism are usually medically treated for 12–18 months with methimazole (MMI) as the preferred drug.
