Thyroid storm - Diagnostic criteria

 

 

 

thyroid storm;

 

-Diagnostic criteria

 

-A score of 45 or more is highly suggestive of thyroid storm;

 

-a score of 25 to 44 supports the diagnosis;

 

-a score below 25 makes thyroid storm unlikely.

 

1.Thermoregulatory dysfunction Temperature (°C) 37.2 to 37.7 5 37.8 to 38.2 10 38.3 to 38.8 15 38.9 to 39.4 20 39.4 to 39.9 25  >40.0 30   2.CNS effects Mild; Agitation 10 Moderate; Delirium, Psychosis, Extreme lethargy 20 Severe; Seizure, Coma 30   3.Gastrointestinal-hepatic dysfunction Moderate; Diarrhea, N/V, Abdominal pain 10 Severe; Unexplained jaundice 20

 

4.Cardiovascular dysfunction
1).Tachycardia
99 to 109	5
110 to 119	10
120 to 129	15
130 to 139	20
≥140	25
2).Atrial fibrillation	10
3).Heart failure
Mild; Pedal edema	5
Moderate; Bibasilar rales	10
Severe; Pulmonary edema	15
5.Precipitant history
Negative	0
Positive	10