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Burch & Wartofsky Diagnostic Criteria
| Category | Points | ||||
| Thermoregulatory dysfunction (Temperature) | |||||
|---|---|---|---|---|---|
| Tmax= 99-99.9 | 5 | ||||
| Tmax= 100-100.9 | 10 | ||||
| Tmax= 101-101.9 | 15 | ||||
| Tmax= 102-102.9 | 20 | ||||
| Tmax= 103-103.9 | 25 | ||||
| Tmax= 104 | 30 | ||||
| Central nervous system effects | |||||
| Mild (Agitation) | 10 | ||||
| Moderate (delirium, psychosis, extreme lethargy) | 20 | ||||
| Severe (seizure, coma) | 30 | ||||
| Gastrointestinal-hepatic dysfunction | |||||
| Moderate (diarrhea, n/v, abd pain) | 10 | ||||
| Severe (unexplained jaundice) | 20 | ||||
| Cardiovascular dysfunction (tachycardia) | |||||
| HR= 99-109 | 5 | ||||
| HR= 110-119 | 10 | ||||
| HR= 120-129 | 15 | ||||
| HR= 130-139 | 20 | ||||
| HR= 140 | 25 | ||||
| Congestive Heart Failure | |||||
| Mild (pedal edema) | 5 | ||||
| Moderate (bibasilar rales) | 10 | ||||
| Severe (pulm edema, A. fib) | 15 | ||||
| Precipitant history | |||||
| Negative | 0 | ||||
| Positive | 10 | ||||
Scoring
- >45 = Highly suggestive of thyroid storm
- 25-44 = Suggestive of impending storm
- <25 = Unlikely to represent storm