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Thyroid Storm Diagnosis and Management Checklist

Dr. Josh Farkas @PulmCrit

#Thyroid #Storm #Checklist #Diagnosis #Management #Endocrinology #CriticalCare

Thyroid Storm Diagnosis ... PulmCrit #Thyroid #Storm

Management of Thyroid Storm - Checklist

Medical Management:
o Propranolol
o Thionamides
o Iodide
o Steroids

#Thyroid #Storm #Checklist #Management #Endocrinology

Management of Thyroid Storm ... Steroids #Thyroid #Storm

Burch-Wartofsky Point Scale for Diagnosis of Thyroid Storm
• Thermoregulatory Dysfunction
- Temperature

Diagnosis of Thyroid Storm ... : >45 Thyroid storm ... Impending Thyroid storm ... <25 Storm unlikely ... Scale #Thyroid #Storm

Thyroid Doppler Ultrasound during Thyroid Storm on POCUS

Thyroid storm.AMS febrile tachy tremors hx of "gland" prob.

during Thyroid Storm ... SonoSerious #Thyroid #Storm

Myxedema coma and thyroid storm are thyroid emergencies associated with increased mortality. Prompt recognition of these

coma and thyroid storm ... coma and thyroid storm

REBEL Review 71: Treatment of Thyroid Storm

Propranolol
Esmolol
Propylthiouracil (PTU)
Methimazole
Saturated Solution of Potassium

Treatment of Thyroid Storm

Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers
• Decreases sympathetic hyperactivity
• Partially blocks peripheral conversion

Hyperthyroidism / Thyroid Storm ... may accompany storm

The Hot and Altered Patient in the ED - Differential Diagnosis Framework
• Heat Stroke
•

Pathology • Thyroid Storm

Alternatives - Store

Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case

Chest pain, good story

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