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Thyroid Storm Diagnosis and Management Checklist

Dr. Josh Farkas @PulmCrit

#Thyroid #Storm #Checklist #Diagnosis #Management #Endocrinology #CriticalCare
Thyroid Storm Diagnosis ... and Management ... Farkas @PulmCrit #Thyroid ... Checklist #Diagnosis #Management
Suggested diagnostic and treatment approach for thyroid nodules. (TSH = thyroid-stimulating hormone.)

#Diagnosis #Management #Thyroid #Nodules #Algorithm
treatment approach for thyroid ... (TSH = thyroid-stimulating ... #Diagnosis #Management ... #Thyroid #Nodules
Management of Thyroid Storm - Checklist

Medical Management:
o Propranolol
o Thionamides 
o Iodide
o Steroids

#Thyroid #Storm #Checklist #Management #Endocrinology
Management of Thyroid ... Checklist Medical Management ... o Steroids #Thyroid ... Storm #Checklist #Management
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 ... Management of myxedema ... coma and thyroid
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers 
• Decreases sympathetic hyperactivity 
• Partially blocks peripheral conversion
Pharmaceutical Management ... Hyperthyroidism / Thyroid ... Blocks synthesis of thyroid ... release of stored thyroid ... #ThyroidStorm #Management
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
: Treatment of Thyroid ... hyperthyroidism #table #management
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... CT, ABG, CSF, thyroid ... AlteredMentalStatus #Delirium #Management
Graves' Disease Treatment
Thionamides (mainly methimazole)
 • Chance of remission in up to 2 years
 • No
2 years • No thyroid ... Disease #Treatment #Management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
concern for nodular thyroid ... workup choices AND management
Subacute Thyroiditis

Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis

What?
Postviral inflammatory process caused by
in viruses and thyroid ... disruption of the thyroid ... changes → The thyroid ... endocrinology #thyroid ... #diagnosis #management