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Emerg Med Clin North Am. 2014 May;32(2):277-92. doi: 10.1016/j.emc.2013.12.001. Epub 2014 Mar 15.

Hyperthyroidism and thyrotoxicosis.

Author information

1
Department of Emergency Medicine, University of Maryland Medical System, University of Maryland, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: danielle.c.devereaux@gmail.com.
2
Department of Emergency Medicine, University of Maryland Medical System, University of Maryland, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.

Abstract

Hyperthyroidism and thyrotoxicosis are hypermetabolic conditions that cause significant morbidity and mortality. The diagnosis can be difficult because symptoms can mimic many other disease states leading to inaccurate or untimely diagnoses and management. Thyroid storm is the most severe form of thyrotoxicosis, hallmarked by altered sensorium, and, if untreated, is associated with significant mortality. Thyroid storm should be considered in the differential of any patient presenting with altered mental status. The emergency medicine physician who can rapidly recognize thyrotoxicosis, identify the precipitating event, appropriately and comprehensively begin medical management, and facilitate disposition will undoubtedly save a life.

KEYWORDS:

Graves disease; Hyperthyroidism; Thyroid storm; Thyroiditis; Thyrotoxicosis

PMID:
24766932
DOI:
10.1016/j.emc.2013.12.001
[Indexed for MEDLINE]

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