Podcast #10: Thyroid Storm & The Thyroid Don’t Get No Respect - The Emergency Medical Minute

Podcast #10: Thyroid Storm & The Thyroid Don’t Get No Respect

1579b99c-4dc6-4bbe-8575-1c099f9b97bc

Run Time: 11 minutes

Author: Dr. Donald Stader

Educational Pearls:

  • Thyroid literally means shield and is important for growth and cortisol/adrenaline modulation.
  • Hyperthyroidism puts the body in a hypercatabolic state causes agitation, fine tremors, tachycardia and Atrial Fibrillation.
  • Iodine – like the kind given for a contrast CT scan – has been associated with precipitating a Thyroid Storm.
  • A thyroid storm is triggered by 2 things: 1. A Physiologic stressor and 2. High thyroid hormone levels – hyperthyroidism!
  • Thyroid Storm mimics sepsis – people are SICK AS STINK!
  • The thyroid storm is treated in steps: 1. Beta-blocker – Propranolol because it inhibits T3 conversion, tx’s sx 2. Methimazole and PTU – inhibits the body from making more thyroid hormone 3. Iodine – causes the Wolff-Chaikoff effect 4. Steroid – decrease conversion of T4 to T3 5. Cholestyramine – decreases absorption of thyroid hormone. ICU Admission.

References:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383116/

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

 

Stay up to date by
joining our mailing list!