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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
Burch-Wartofsky Point Scale for Diagnosis of Thyroid Storm
 • Thermoregulatory Dysfunction
    - Temperature
for Diagnosis of Thyroid ... Storm • Thermoregulatory ... totaled: >45 Thyroid ... Thyroid storm ... #Point #Scale #Thyroid
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
Thyroid Doppler Ultrasound during Thyroid Storm on POCUS

Thyroid storm.AMS febrile tachy tremors hx of "gland" prob.
Thyroid Doppler ... Ultrasound during Thyroid ... Storm on POCUS ... Thyroid storm.AMS ... #Storm #Doppler
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
Differential Diagnosis - Noninfectious Causes of Fever

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