thyrotoxicosis

Today we talked about thyrotoxicosis in morning report.. and then again in lunch rounds... (this keeps happening to me)

If patient presents with a combination of 1. fever 2. cns manifestations 3. cardiac instability and 4. gi side effects, 
dont forget to consider the thyroid as a cause, (if you don't think of thyroid storm then you can't diagnose or treat it)

The treatment consists of:
- decrease thyroid hormone production and release
- decrease bodies response to hormone
- supportive therapy
- treat the cause

Here is a review on thyroid emergencies.