thyroid storm

Question 1

Name 3 factors which may percipitate?

Answer 1

1. Surgery
2. Premature cessation of carbimazole
3. emotional stress/ trauma

Question 2

Describe the presentation of ‘Thyroid Storm’

Answer 2

1. Agitation / confusion
2. Palpitations / Arrythmias
3. Abdo pain / D+V

Question 3

Step 1 - Mx

Answer 3

High dose beta blockers - propanolol

Question 4

Step 2 - Mx

Answer 4

Anti thyroid drug - Carbimazole / Propylthiouracil

Question 5

Step 3 - Mx

Answer 5

Iodide

Question 6

Step 4 - Mx

Answer 6

IV high dose glucocorticoid - inhibits new thyroid hormone synthesis

Question 7

Final step of Mx

Answer 7

no improvement in 12-24 hours - Thyroidectomy