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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

V. Congestive Heart Failure

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