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Thyroid Storm Diagnosis and Management Checklist

Dr. Josh Farkas @PulmCrit

#Thyroid #Storm #Checklist #Diagnosis #Management #Endocrinology #CriticalCare
Thyroid Storm Diagnosis ... Farkas @PulmCrit #Thyroid ... #Storm #Checklist
Myxedema coma and thyroid storm are thyroid emergencies associated with increased mortality. Prompt recognition of these
Myxedema coma and thyroid ... storm are thyroid ... necessary to initiate treatment ... myxedema coma and thyroid ... storm requires
Management of Thyroid Storm - Checklist

Medical Management:
o Propranolol
o Thionamides 
o Iodide
o Steroids

#Thyroid #Storm #Checklist #Management #Endocrinology
Management of Thyroid ... Storm - Checklist ... o Steroids #Thyroid ... #Storm #Checklist
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
REBEL Review 71: Treatment ... of Thyroid Storm ... table #management #treatment
Suggested diagnostic and treatment approach for thyroid nodules. (TSH = thyroid-stimulating hormone.)

#Diagnosis #Management #Thyroid #Nodules #Algorithm
diagnostic and treatment ... approach for thyroid ... (TSH = thyroid-stimulating ... Diagnosis #Management #Thyroid ... #Nodules #Algorithm
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers 
• Decreases sympathetic hyperactivity 
• Partially blocks peripheral conversion
Hyperthyroidism / Thyroid ... Storm Beta-Blockers ... Blocks synthesis of thyroid ... release of stored thyroid ... may accompany storm
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
↑ Free T4 • Thyroid ... suspected • Thyroid ... Storm: • Life ... ↑ AST/ALT • Treatment ... tenderness Treatment
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Differential Diagnosis Algorithm ... Endocrine: • Thyroid ... storm • Acute ... Differential #Diagnosis #Algorithm
Emergencies related to thyroid gland diseases are infrequently observed in the clinical practice. They are caused
cause and suitable treatment ... and thyrotoxic storm ... glucocorticoids; treatment ... hyponatremia); treatment ... gold standard treatment
The Hot and Altered Patient in the ED - Differential Diagnosis Framework
 • Heat Stroke
 •
Neuro Pathology • Thyroid ... Storm • Malignant