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{| class="wikitable" | {| class="wikitable" | ||
| align="center" style="background:#f0f0f0;"|'''Category''' | |||
| align="center" style="background:#f0f0f0;"|''' | |||
| align="center" style="background:#f0f0f0;"|'''Points''' | | align="center" style="background:#f0f0f0;"|'''Points''' | ||
|- | |||
!colspan="6"|Thermoregulatory dysfunction (Temperature) | |||
|- | |- | ||
| 99-99.9||5 | | 99-99.9||5 | ||
| Line 15: | Line 16: | ||
|- | |- | ||
| 104||30 | | 104||30 | ||
| | |- | ||
!colspan="6"|Central nervous system effects | |||
|- | |- | ||
| Mild (Agitation)||10pts | | Mild (Agitation)||10pts | ||
| Line 23: | Line 25: | ||
| Severe (seizure, coma)||30pt | | Severe (seizure, coma)||30pt | ||
|} | |} | ||
=== Burch & Wartofsky Diagnostic Criteria === | |||
'''I. Thermoregulatory dysfunction (Temperature)''' | |||
''' | |||
{| border="1" | |||
|- | |||
| Mild (Agitation) | |||
| 10pts | |||
|- | |||
| Moderate (delirium, psychosis, extreme lethargy) | |||
| 20pts | |||
|- | |||
| Severe ([[seizure]], [[coma]]) | |||
| 30pts | |||
|} | |||
'''III. Gastrointestinal-hepatic dysfunction''' | |||
{| border="1" | |||
|- | |||
| Moderate ([[diarrhea]], [[n/v]], [[abd pain]]) | |||
| 10pts | |||
|- | |||
| Severe (unexplained [[jaundice]]) | |||
| 20pts | |||
|} | |||
'''IV. Cardiovascular dysfunction (tachycardia)''' | |||
{| border="1" | |||
|- | |||
| 99-109 | |||
| 5pts | |||
|- | |||
| 110-119 | |||
| 10pts | |||
|- | |||
| 120-129 | |||
| 15pts | |||
|- | |||
| 130-139 | |||
| 20pts | |||
|- | |||
| 140 | |||
| 25pts | |||
|} | |||
'''V. [[Congestive Heart Failure]]''' | |||
{| border="1" | |||
|- | |||
| Mild (pedal edema) | |||
| 5pts | |||
|- | |||
| Moderate (bibasilar rales) | |||
| 10pts | |||
|- | |||
| Severe ([[pulm edema]], [[A. fib]]) | |||
| 15pts | |||
|} | |||
'''VI. Precipitant history''' | |||
{| border="1" | |||
|- | |||
| Negative | |||
| 0pts | |||
|- | |||
| Positive | |||
| 10pts | |||
|} | |||
'''Scoring''' | |||
*>45 = Highly suggestive of thyroid storm | |||
*25-44 = Suggestive of impending storm | |||
*<25 = Unlikely to represent storm | |||
Revision as of 03:44, 6 May 2015
| Category | Points | ||||
| Thermoregulatory dysfunction (Temperature) | |||||
|---|---|---|---|---|---|
| 99-99.9 | 5 | ||||
| 100-100.9 | 10 | ||||
| 101-101.9 | 15 | ||||
| 102-102.9 | 20 | ||||
| 103-103.9 | 25 | ||||
| 104 | 30 | ||||
| Central nervous system effects | |||||
| Mild (Agitation) | 10pts | ||||
| Moderate (delirium, psychosis, extreme lethargy) | 20pts | ||||
| Severe (seizure, coma) | 30pt | ||||
Burch & Wartofsky Diagnostic Criteria
I. Thermoregulatory dysfunction (Temperature)
| Mild (Agitation) | 10pts |
| Moderate (delirium, psychosis, extreme lethargy) | 20pts |
| Severe (seizure, coma) | 30pts |
III. Gastrointestinal-hepatic dysfunction
| Moderate (diarrhea, n/v, abd pain) | 10pts |
| Severe (unexplained jaundice) | 20pts |
IV. Cardiovascular dysfunction (tachycardia)
| 99-109 | 5pts |
| 110-119 | 10pts |
| 120-129 | 15pts |
| 130-139 | 20pts |
| 140 | 25pts |
| Mild (pedal edema) | 5pts |
| Moderate (bibasilar rales) | 10pts |
| Severe (pulm edema, A. fib) | 15pts |
VI. Precipitant history
| Negative | 0pts |
| Positive | 10pts |
Scoring
- >45 = Highly suggestive of thyroid storm
- 25-44 = Suggestive of impending storm
- <25 = Unlikely to represent storm