What is the difference between thyroid storm and thyrotoxicosis?

What is the difference between thyroid storm and thyrotoxicosis?

Thyroid storm is rare and requires immediate medical attention. Thyrotoxicosis happens when you have too much thyroid hormone in your body in general. It can be caused by hyperthyroidism or other conditions like thyroiditis, which is when something causes your thyroid to leak thyroid hormone.

Which of the following distinguishes hyperthyroidism from thyroid storm?

One major sign of thyroid storm that differentiates it from oridnary hyperthyroidism is a marked elevation of body temperature, which may be as high as 105-106 F (40.5-41.1 C). Thyroid storm is unusual, but is a life-threatening emergency when it does occur.

How do you rule out a thyroid storm?

The actual diagnosis is based on clinical judgment. Based on the BWPS scoring system, a score of 45 or more is more sensitive but less specific than JTA scoring systems TS1 or TS2 to detect thyroid storm cases. BWPS score of 25 to 45 may suggest an impending storm. A chest x-ray may be done to assess heart failure.

What is thyroid storm thyrotoxicosis?

Thyroid storm, also referred to as thyrotoxic crisis, is an acute, life-threatening, hypermetabolic state induced by excessive release of thyroid hormones (THs) in individuals with thyrotoxicosis. Thyroid storm may be the initial presentation of thyrotoxicosis in undiagnosed children, particularly in neonates.

What are the signs of thyroid storm?


  • Fever. Typically anything over 100.5 F.
  • Diarrhea and vomiting. This can include nausea and abdominal pain.
  • Nervousness and confusion. People affected by a thyroid storm may have terrible anxiety and become delirious.
  • Unconsciousness. If untreated, the affected person may fall into a coma.

Can hypothyroidism cause thyroid storm?

Both the states of low thyroid hormone concentrations (hypothyroidism) and thyroid hormone excess thyrotoxicosis) can be transient or permanent. The decompensated, severe forms of hypothyroidism and hyperthyroidism, termed myxedema coma and thyroid storm, are associated with increased morbidity and mortality.

What are the signs of a thyroid storm?

What is a thyroid storm signs and symptoms?

Symptoms of thyroid storm include: Feeling extremely irritable or grumpy. High systolic blood pressure, low diastolic blood pressure, and fast heartbeat. Nausea, vomiting, or diarrhea.

How do I know if I’m having a thyroid storm?

What can trigger a thyroid storm?

Thyroid storm occurs due to a major stress such as trauma, heart attack, or infection in people with uncontrolled hyperthyroidism. In rare cases, thyroid storm can be caused by treatment of hyperthyroidism with radioactive iodine therapy for Graves disease.

Why is methimazole preferred over propylthiouracil?

Methimazole — Methimazole is usually preferred over propylthiouracil because it reverses hyperthyroidism more quickly and has fewer side effects. Methimazole requires an average of six weeks to lower T4 levels to normal and is often given before radioactive iodine treatment. Methimazole can be taken once per day.

Can you have a thyroid storm without a thyroid?

Thyroid storm is the clinical manifestation of elevated serum thyroid hormone concentrations, resulting in the extreme alteration of usual hyperthyroid symptoms. The diagnosis can occur in patients with or without preexisting hyperthyroidism.

Which finding is associated with thyroid storm?

High fever of 100 to as high as 106

  • A high heart rate that can be as high as 200 beats per minute
  • Palpitations,chest pain,shortness of breath
  • High blood pressure
  • Confusion,delirium and even psychosis
  • Extreme weakness and fatigue
  • Extreme restlessness,nervousness,mood swings
  • Exaggerated reflexes
  • Difficulty breathing
  • Nausea,vomiting,diarrhea
  • What is the mortality rate of thyroid storm?

    Thyroid storm requires immediate, aggressive emergency medical attention. When left untreated, thyroid storm can cause congestive heart failure or fluid-filled lungs. The mortality rate for people with untreated thyroid storm is estimated to be 75 percent. The chances of surviving thyroid storm increase if you quickly seek medical care.

    Which medications are used in thyroid storm treatment?


  • Mild sedation
  • Fluid and electrolyte replacement
  • Nutritional support and vitamins as needed
  • Oxygen therapy
  • Nonspecific therapy as indicated
  • Antibiotics
  • Cardio-support as indicated
  • Cooling,aided by cooling blankets and acetaminophen
  • Why does thyroid storm happen after thyroidectomy?

    Why does thyroid storm happen after thyroidectomy? One of the rarer complications from thyroid surgery is precipitation of a thyroid storm , which can occur intraoperatively or postoperatively. It is thought to occur secondary to thyroid gland manipulation in the operating room in patients with hyperthyroidism .