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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
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
Myxedema coma and thyroid storm are thyroid emergencies associated with increased mortality. Prompt recognition of these
Myxedema coma and thyroid ... storm are thyroid ... elevated circulating thyroid ... myxedema coma and thyroid ... storm requires
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
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
: Treatment of Thyroid ... Storm Propranolol
The Hot and Altered Patient in the ED - Differential Diagnosis Framework
 • Heat Stroke
 •
Neuro Pathology • Thyroid ... Storm • Malignant
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
with circulating thyroid ... ↑ Free T4 • Thyroid ... suspected • Thyroid ... Nodules, Size Thyroid ... Storm: • Life
Figure 2. The “laryngeal handshake,” from left to right: 1) hyoid, 2) thyroid, 3) cricoid, and
left to right: 1) hyoid ... , 2) thyroid, 3)
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
malignant syndrome - Thyroid ... storm - Acute
SUMMARY FOR YOUR NOTES:
- The thyroid appears as an epithelial proliferation of the floor of the
NOTES: - The thyroid ... - Thyroid begins ... - The thyroid descends ... the neck, the thyroid ... - The thyroid