what is a thyroid storm?
state of severe hyperthyroidism
causes?
MI
Infection
Radio iodine
recent thyroid surgery
presentation of thyroid storm?
agitation
confusion
coma
thyroid bruit
GI?
acute abdomen, diarrhoea, vomiting
CVS?
tachycardia, AF, heart failure, circ collapse
management ?
fluids
control HR?
B blocker or digoxin
how do you prevent the conversion of t4 to T3?
hydrocortisone
prevent action of T3/T4?
carbimazole
lugols iodine