Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.

30Jan/1240

Thyroid Disorders

Dave Ahlers, MD

  • Myxedema coma and thyroid storm are a clinical diagnosis, start treatment without testing if suspicious.
  • For thyroid storm give beta blocker (propanolol or esmolol) then thionamide (methimazole) followed by iodide solution (SSKI or Lugols) 1 hour later.
  •  Myxedema coma patients need hormone replacement ASAP (ie: T4 +/- T3)
  •  All thyroid disorder patients in crisis should get stress dose steroids
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