{"id":2467,"date":"2009-09-18T14:42:18","date_gmt":"2009-09-18T14:42:18","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/endts\/"},"modified":"2025-05-14T19:08:59","modified_gmt":"2025-05-14T19:08:59","slug":"endts","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/endts\/","title":{"rendered":"Diagnostic Criteria for Thyroid Storm"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Burch and Wartofsky have delineated a point system assessing degrees of dysfunction in various systems (thermoregulatory, central nervous, gastrointestinal, and cardiovascular).<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong> Diagnostic parameters<\/strong><\/td>\n<td><strong>Scoring points<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong> Thermoregulatory dysfunction<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Temperature \u00b0F (\u00b0C)<br \/>\n99\u201399.9 (37.2-37.7)<br \/>\n100\u2013100.9 (37.8-38.2)<br \/>\n101\u2013101.9 (38.3-38.8)<br \/>\n102\u2013102.9 (38.9-39.2)<br \/>\n103\u2013103.9 (39.3-39.9)<br \/>\n&gt;\/= 104.0 (&gt;\/= 40.0)<\/td>\n<td align=\"center\">5<br \/>\n10<br \/>\n15<br \/>\n20<br \/>\n25<br \/>\n30<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong>Central nervous system effects<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Absent<br \/>\nMild (agitation)<br \/>\nModerate (delirium, psychosis, extreme lethargy<br \/>\nSevere (seizures, coma)<\/td>\n<td align=\"center\">0<br \/>\n10<br \/>\n20<br \/>\n30<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong>Gastrointestinal-hepatic dysfunction<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Absent<br \/>\nModerate (diarrhea, nausea\/vomiting, abdominal pain)<br \/>\nSevere (unexplained jaundice)<\/td>\n<td align=\"center\">0<br \/>\n10<br \/>\n20<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong> Cardiovascular dysfunction<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Tachycardia (beats\/minute)<br \/>\n90\u2013109<br \/>\n110\u2013119<br \/>\n120\u2013129<br \/>\n130\u2013139<br \/>\n&gt;\/= 140<\/td>\n<td align=\"center\">5<br \/>\n10<br \/>\n15<br \/>\n20<br \/>\n25<\/td>\n<\/tr>\n<tr>\n<td>Congestive heart failure<br \/>\nAbsent<br \/>\nMild (pedal edema)<br \/>\nModerate (bibasilar rales)<br \/>\nSevere (pulmonary edema)<\/td>\n<td align=\"center\">0<br \/>\n5<br \/>\n10<br \/>\n15<\/td>\n<\/tr>\n<tr>\n<td>Atrial fibrillation<br \/>\nAbsent<br \/>\nPresent<br \/>\nPrecipitating event<br \/>\nAbsent<br \/>\nPresent<\/td>\n<td align=\"center\">\n0<br \/>\n100<br \/>\n10<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Scoring system: A score of 45 or greater is highly suggestive of thyroid storm; a score of 25\u201344 is suggestive of impending storm, and a score below 25 is unlikely to represent thyroid storm.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Burch HB, Wartofsky L. Life-threatening thyrotoxicosis. Thyroid storm. Endocrinol Metab Clin North Am 1993;22:263\u201377\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8325286\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am. 2006 Dec;35(4):663-86.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17127140\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>De Leo S, Lee SY, Braverman LE. Hyperthyroidism.\u00a0Lancet. 2016 Aug 27;388(10047):906-918. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27038492\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Sep 18, 2009<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[16,15,14,13,1386,511,1387,1388],"class_list":["post-2467","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-storm","tag-thyroid","tag-tiroidea","tag-tormenta"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2467","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2467"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2467\/revisions"}],"predecessor-version":[{"id":9435,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2467\/revisions\/9435"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2467"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2467"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2467"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}