Page 231 - Critical Care Notes

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Clinical Presentation
■ High fever, hyperthermia
■ Heat intolerance, excessive sweating
■ Severe tachycardia (>200 bpm), hypertension with heart failure and shock
■ Cardiovascular dysfunction and arrhythmias possibly primary symptoms in
elderly patients
■ Goiter
■ Vision disturbances, exophthalmos
■ Nausea, vomiting
■ Restlessness, agitation, irritability
■ Tremors, muscle weakness
■ Severe agitation, confusion, delirium, psychosis, stupor, weakness,
somnolence
■ Seizures, coma
Exaggerated symptoms of hyperthyroidism with disturbances of major systems:
■ GI:
■ Weight loss
■ Diarrhea
■ Abdominal pain
■ Jaundice
■ CV:
■ Edema
■ Chest pain
■ Shortness of breath, dyspnea, cough
■ Palpitations
■ Cardiac arrhythmias, especially atrial fibrillation, supraventricular tachy-
cardia, sinus bradycardia, heart block, ventricular dysrhythmias
Diagnostic Tests
■ Serum thyroid panel
■ Liver function tests
■ CBC, serum electrolytes, chemistries
■ ABGs, ECG
■ CT, MRI

ENDO