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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
Graves’ Disease: Pathogenesis and Clinical Findings
B & T lymphocyte mediated autoimmunity attack TSH receptor -> Continuous
thyroglobulin, Thyroid ... also attack other thyroid ... thyroglobulin, thyroid ... etiology Signs/Symptoms ... endocrinology #symptoms
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
↑ Free T4 • Thyroid ... suspected • Thyroid ... Storm: • Life ... endocrinology #signs #symptoms ... #thyroid
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Thyroid Goiter in ... lost to care and thyroid ... Video by Dr. ... #Thyroid #Mass # ... PhysicalExam #clinical #video
Hashitoxicosis

‘Leakage’ symptoms of active Hashimoto’s disease

- Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
Hashitoxicosis ‘Leakage’ symptoms ... s disease, the thyroid ... make too much thyroid ... ‘Leakage’ symptoms ... Eventually thyroid
The Hot and Altered Patient in the ED - Differential Diagnosis Framework
 • Heat Stroke
 •
Neuro Pathology • Thyroid ... Storm • Malignant