THYROID STORM
SUMMARY
1. Storms are precipitated in inadequately treated hyperthyroidism by surgery, infections, iodine load (amiodarone, contrast dye).
2. Symptoms: fever, psychosis/delirium, tachycardia, hypertension, CCF.
3. Other symptoms: nausea, vomiting, diarrhoea, jaundice.
4. Diagnosed with immeasurable TSH & markedly increased FT4.
5. Death from adrenal insufficiency (adrenals may be normal but work overtime) & cardiovascular collapse.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
