Wednesday, May 2, 2012

Thyroid storm

Emergency

Triad of : Altered mental status +fever + high output heart failure in a patient with history of previous Graves disease (hyperthyroidism).

The sudden exacerbation is precipitated by stressful event e.g surgery, trauma, infection etc.

Can also occur due to sudden release of preformed thyroid hormones during radioiodine therapy.

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