Potentially life-threatening emergency
Thyroid storm
Alerts and Notices
Synopsis
Common signs and symptoms include high fever, tachycardia, congestive heart failure, arrhythmia, altered mental status, agitation, tremor, diarrhea, confusion, and sweating.
Management consists of reducing fever, reducing thyroid-hormone release, and identifying and limiting causal factors.
Codes
ICD10CM:E05.91 – Thyrotoxicosis, unspecified with thyrotoxic crisis or storm
SNOMEDCT:
29028009 – Thyrotoxic crisis
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Thyrotoxicosis without storm – Thyroid storm is based on the severity of symptoms.
- Sepsis
- Malignant hyperthermia
- Serotonin syndrome
- Primary cardiac conditions
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:07/01/2019
Last Updated:07/02/2019
Last Updated:07/02/2019