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Thryoid Storm Diagnosis
Aka: Thryoid Storm Diagnosis, Burch Wartofsky Score
- See Also
- Hyperthyroidism
- Thyroid Storm
- Indications
- Hyperthyroidism with suspected Thyroid Storm
- Criteria
- Thermoregulatory dysfunction
- Score 5: Temp 99 to 99.9 F
- Score 10: Temp 100 to 100.9 F
- Score 15: Temp 101 to 101.9 F
- Score 20: Temp 102 to 102.9 F
- Score 25: Temp 103 to 103.9 F
- Score 30: Temp >104 F
- Central Nervous System Effects
- Score 0: Absent
- Score 10: Mild (e.g. Agitation)
- Score 20: Moderate (e.g. Delirium, Psychosis, severe lethargy)
- Score 30: Severe (e.g. Seizure, coma)
- Gastrointestinal-Hepatic Dysfunction
- Score 0: Absent
- Score 10: Moderate (e.g. Diarrhea, Nausea or Vomiting, Abdominal Pain)
- Score 20: Severe (e.g. unexplained Jaundice)
- Cardiovascular Dysfunction
- Score 5: Pulse 90 to 109
- Score 10: Pulse 110 to 119
- Score 15: Pulse 120 to 129
- Score 20: Pulse 130 to 139
- Score 25: Pulse >140
- Congestive Heart Failure Dysfunction
- Score 0: Absent
- Score 10: Mild (e.g. pedal edema)
- Score 20: Moderate (e.g. bibasilar rales)
- Score 30: Severe (e.g. Pulmonary Edema)
- Atrial Fibrillation
- Score 0: Absent
- Score 10: Present
- Precipitant History
- Score 0: Absent
- Score 10: Present
- Interpretation
- Score 45+: Thyroid Storm
- Score 25 to 44: Impending Thyroid Storm
- Score <25: Unlikely to be Thyroid Storm
- References
- Burch (1993) Endocrinol Metab Clin North Am 22(2): 263-77 [PubMed]