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THYROID STORM MANAGEMENT

Endocrinology

THYROID STORM MANAGEMENT

1. Manage in ICU.
2. Septic workup + emperic antibiotics if infection is suspected.
3. Block adrenergic effects - IV propanolol/esmolol.
4. Block thyroid hormone synthesis - high dose MMI/PTU.
5. Block release of thyroid hormone - stable iodide.
6. Block T4 to T3 conversion - iodinated contrast agent, propanolol, PTU.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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