Thyroid storm

Case based discussion of this common, under diagnosed and life threatening Emergency

1. Thyroid storm is a life threatening emergency that is difficult to diagnose mainly because it is overshadowed by underlying factors. However once, clinical diagnosis is confirmed by low TSH and high T3 and T4, the treatment is very simple and often requires resuscitation and '4 main blocking pathways'

2. Block release of thyroid hormone

3. Block production of thyroid hormone

4. Block peripheral conversion of T4 to more active T3

5. Block adrenergic crises using propranolol