Endocrinology Book

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Thyroid StormAka: Thyroid Crisis

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  1. Definition
    1. Severe Thyrotoxicosis
  2. Management
    1. Propylthiouracil (PTU)
      1. Load: 1 g load
      2. Maintenance: 300 mg q6h
    2. Dexamethasone 2 mg PO or IV every 6 hours
    3. Potassium iodide (SSKI)
      1. Dose: 4-5 drops every 6 hours for 2 days
      2. Initiate after PTU loading dose
    4. Propranolol 10-20 mg IV or PO every 6 hours

Thyroid Crisis (C0040127)

Definition (MSH)A dangerous life-threatening hypermetabolic condition characterized by high FEVER and dysfunction of the cardiovascular, the nervous, and the gastrointestinal systems.
ConceptsDisease or Syndrome (T047)
MSHD013958
EnglishCRISIS THYROID, CRISIS THYROTOX, Hyperthyroidism with Storm, Thyroid Crisis, Thyroid Storm, THYROTOX CRISIS, THYROTOX STORM, Thyrotoxic crisis, Thyrotoxic Storm
Spanishcrisis tiroidea, crisis tirotoxica, tormenta tiroidea
Parent ConceptsThyrotoxicosis (C0040156), Duplicate concept (C1274013)
SourcesAOD, COSTAR, CST, DXP, MSH, NDFRT, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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