Thyroid Crisis: Clinical Features & Treatment

Thyroid And Parathyroid Gland

Question 1. Write a short note on thyroid crisis.
Or
Write a short note on the thyroid storm/crisis.

Answer. It is also known as thyroid crisis or thyroid storm.

It occurs in a thyrotoxic patient inadequately prepared for thyroidectomy.
Other causes are infection, trauma, pre-eclampsia, diabetic ketosis, emergency surgery,y, and stress.
It is an acute life-threatening metabolic stat-thatch induced bythe excess release of thyroid hormones in individuals with thyrotoxicosis.

“Understanding The Causes Of Thyroid Crisis“

Thyroid crisis Etiology

Previously, thyroid storm was a common complication of toxic goiter surgery during intraoperative and postoperative stages.
Inthe modern era, thyroid storm is seen in a thyrotoxic patient with intercurrent illness or surgical emergency. A mostt common cause of thyroid storm is intercurrent illness or infection.
Various other causes that rapidly increase thyroid hormone levels are radioiodine therapy, withdrawal of antithyroid drug therapy, vigorous thyroid palpation, iodinated contrast dye, ingestion of thyroid hormone, and sepsis or infection.

“Comprehensive Overview Of Thyroid Crisis Symptoms“

Thyroid Crisiss Clinical Features

Thyroid crisis is present in l2–24 hours after surgery, with severe dehydration, circulatory collapse, hypotension, hyperpyrexia, tachypnea, hyperventilation, palpitation, restlessness, tremor, delirium, diarrheavomitingin,,g and cardiac failure; later coma.
Bayley’symptomsom complex othe f thyroid storm are insomnia, anorexia, diarrhea, vomiting, sweating, emotional instability, fever, tachycardia, aggravated toxic features, an , multiorgan dysfunction.

“Tips To Prevent Thyroid Storm In Hyperthyroid Patients”

Thyroid crisis Treatment

The patient should be sedated immediately with morphine or pethidine.
Hyper pyrexia should be controlled by an ice bag, rapid sponging, hypothermic blanket, and rectal ice irrigation.
Oxygen is administered, and IV glucose saline solution should combat dehydration.
Potassium may be added to control tachycardia.
Hydrocortisone is often highly effective.

“Step-By-Step Guide To Managing Thyroid Storm”

Lugol’s iodine should be given I.V
Propranolol should be used 20–40 mg 6 hourly.
For atriafibrillationon, digitalis may be cautiously administereA largerge dose of Propyl thiouracil orally, rectally ,or through Ryle’s tube.
Saturated solution of potassium iodide.