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Thyroid Emergencies Part 1 | Thyroid Storm

Andrew Grock, MD, Matthieu DeClerck, MD, and Mizuho Morrison, DO
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Extremes of disease spectrum can be seen in patients with thyroid disease. Matt DeClerk and Andy Grock review presentations of thyroid emergencies including thyroid storm and myxedema coma. The thyroid controls energy and metabolism. High – high energy, don’t sleep, lose weight, feel hot, palpitations/tachycardia, diarrhea (fast bowels). Low – low energy, sleep too much, gain weight, feel cold, bradycardia, constipation.Mild to moderate hypothyroidism or hyperthyroidism need urgent PMD or endocrine follow-up. Myxedema coma or thyroid storm should go to ED.

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Lauren F. -

2 days ago I had a patient come in with new onset AFib with RVR at a rate of 176. I work in UC so that was a quick ambulance transfer to the ED. I listened to your segment on thyroid storm after I saw the patient and have been checking up on the patient's hospitalization. A TSH has still not yet been done in the few days they have been there. It's driving me crazy. I'm so curious now if the thyroid had anything to do with the patient's new AFib.

Mike W., MD -

Thx for the comments Lauren! Hopefully u will find out. (probably more just an arrhythmia which occurs commonly w afib...).
M

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The Half Somersault Full episode audio for MD edition 190:30 min - 89 MB - M4AUrgent Care RAP July 2019 Written Summary 585 KB - PDF

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