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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
The Hot and Altered Patient in the ED - Differential Diagnosis Framework
 • Heat Stroke
 •
Neuro Pathology • Thyroid ... Storm • Malignant ... Neuroleptic Malignant Syndrome ... • Serotonin Syndrome
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
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Neuroleptic malignant syndrome ... - Thyroid storm ... Postmyocardiotomy syndrome
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
a Retrosternal Thyroid ... superior vena cava syndrome ... #Retrosternal #Thyroid ... PhysicalExam #clinical #video ... neck #mass #SVC #Syndrome
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Neuroleptic malignant syndrome ... Endocrine: • Thyroid ... storm • Acute
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