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Thyroid Storm Diagnosis and Management Checklist

Dr. Josh Farkas @PulmCrit

#Thyroid #Storm #Checklist #Diagnosis #Management #Endocrinology #CriticalCare
Thyroid Storm Diagnosis ... and Management ... Farkas @PulmCrit #Thyroid ... #Storm #Checklist ... #Diagnosis #Management
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 ... Medical Management ... o Steroids #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 ... Management of myxedema ... storm requires
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
REBEL Review 71: Treatment ... of Thyroid Storm ... hyperthyroidism #table #management ... #treatment #pharmacology
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers 
• Decreases sympathetic hyperactivity 
• Partially blocks peripheral conversion
Pharmaceutical Management ... Hyperthyroidism / Thyroid ... Storm Beta-Blockers ... may accompany storm ... #ThyroidStorm #Management
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
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... ↑ Free T4 • Thyroid ... Storm: • Life ... ↑ AST/ALT • Treatment ... tenderness Treatment
Emergencies related to thyroid gland diseases are infrequently observed in the clinical practice. They are caused
observed in the clinical ... cause and suitable treatment ... and thyrotoxic storm ... hyponatremia); treatment ... gold standard treatment
Graves' Disease Treatment
Thionamides (mainly methimazole)
 • Chance of remission in up to 2 years
 • No
Graves' Disease Treatment ... 2 years • No thyroid ... Graves #Disease #Treatment ... #Management #endocrinology
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Causes of Fever CRITICAL ... malignant syndrome - Thyroid ... storm - Acute