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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 ... #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 ... 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
The Hot and Altered Patient in the ED - Differential Diagnosis Framework
 • Heat Stroke
 •
- Differential Diagnosis ... Neuro Pathology • Thyroid ... Storm • Malignant ... #Differential #Diagnosis
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
: Treatment of Thyroid ... Storm Propranolol
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Fever CRITICAL DIAGNOSES ... malignant syndrome - Thyroid ... storm - Acute ... edema EMERGENT DIAGNOSES
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
hyperthyroidism Diagnosis ... ↑ Free T4 • Thyroid ... suspected • Thyroid ... Storm: • Life ... hyperthyroidism #causes #diagnosis
Burch-Wartofsky Point Scale for Diagnosis of Thyroid Storm
 • Thermoregulatory Dysfunction
    - Temperature
Point Scale for Diagnosis ... of Thyroid Storm ... totaled: >45 Thyroid ... Thyroid storm ... #Storm #diagnosis
Suggested diagnostic and treatment approach for thyroid nodules. (TSH = thyroid-stimulating hormone.)

#Diagnosis #Management #Thyroid #Nodules #Algorithm
Suggested diagnostic ... treatment approach for thyroid ... (TSH = thyroid-stimulating ... #Diagnosis #Management ... #Thyroid #Nodules