Friday, October 11, 2013

thyroid storm(甲狀腺風暴)

症狀/併發症(symptom/complication)
symptom
@fever
@tachycardia with @sweating
@hypertension
@neurological: delirium
@GI abnormalities: @nausea and @vomitting
complication
@congestive heart failure due to hypertension
病因(etiology)
|acute, life-threatening, hypermetabolic state induced by excessive release of thyroid hormones in individuals with thyrotoxicosis
|the most severe hyperthyroidism
|stress may trigger: medical crisis、surgical crisis
檢查/準則(examination/criteria)
#Thyrotoxic history

治療(treatment)
$antithyroid drugs
$$propylthiouracil, PTU: 400mg Q4H
$Iodine preparations
$Dexamethasone, a kind of glucocorticoid agonist, usually use with Iodine preparations, 2mg PO Q6H
$Beta-blocker: 40mg Q6H
support therapy
$Scanol, do not use NSAIDs
$Digitalis and $lasix: heart failure treatment
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)


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