thyroid crisis

thyroid crisis
= thyroid storm
a life-threatening condition due to a severe worsening of previously undiagnosed or inadequately treated thyrotoxicosis. It often follows infections, childbirth, nonthyroid surgery, or trauma but can occur without an obvious cause. The presenting features are a fever, severe agitation, nausea and vomiting, diarrhoea, and abdominal pains. An accelerated heart rate and irregularity of the heart rhythm can cause heart failure, and psychotic episodes or coma can result. Blood tests will reveal hyperthyroidism and may also show altered liver function, high blood sugar, high calcium levels, a high white blood cell count, and often anaemia. Treatment is with intravenous fluids, oxygen, antithyroid drugs (such as carbimazole or propylthiouracil), high-dose iodide solution (see Lugol's iodine), high-dose steroids, and beta blockers. The patient must be cooled and given antipyretics, such as paracetamol. Any underlying cause must also be treated.

The new mediacal dictionary. 2014.

Игры ⚽ Нужен реферат?

Look at other dictionaries:

  • thyroid crisis — thyrotoxic crisis a sudden and dangerous increase of the symptoms of thyrotoxicosis. Called also thyroid or thyrotoxic storm …   Medical dictionary

  • thyroid storm — see thyroid crisis …   The new mediacal dictionary

  • thyroid storm — n a sudden life threatening exacerbation of the symptoms (as high fever, tachycardia, weakness, or extreme restlessness) of hyperthyroidism that is brought on by various causes (as infection, surgery, or stress) * * * a life threatening condition …   Medical dictionary

  • crisis — 1. A sudden change, usually for the better, in the course of an acute disease, in contrast to the gradual improvement by lysis. 2. A paroxysmal pain in an organ or circumscribed region of the body occurring in the course of …   Medical dictionary

  • Hyperthyroidism — Classification and external resources Triiodothyronine (T3, pictured) and thyroxine (T4) are both forms of thyroid hormone. ICD 10 …   Wikipedia

  • Wolff-Chaikoff effect — the inhibition of thyroid hormone production by administration of large doses of iodide. This occurs at a critical dosage level below which the addition of iodide to an iodine deficient individual results in increased production of thyroid… …   The new mediacal dictionary

  • Lugol's iodine — a solution of 5% iodine and 10% potassium iodide, used in the treatment of thyrotoxicosis in emergencies, such as thyroid crisis, or when surgery cannot wait for more conventional treatments. For its mode of action it utilizes the abnormal Wolff… …   The new mediacal dictionary

  • endocrine system, human — ▪ anatomy Introduction  group of ductless glands (gland) that regulate body processes by secreting chemical substances called hormones (hormone). Hormones act on nearby tissues or are carried in the bloodstream to act on specific target organs… …   Universalium

  • environment — environmental, adj. environmentally, adv. /en vuy reuhn meuhnt, vuy euhrn /, n. 1. the aggregate of surrounding things, conditions, or influences; surroundings; milieu. 2. Ecol. the air, water, minerals, organisms, and all other external factors… …   Universalium

  • Addison's disease — Classification and external resources ICD 10 E27.1 E27.2 ICD 9 …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”