Exam
Thryoid Storm Diagnosis
search
Thryoid Storm Diagnosis
, Burch Wartofsky Score
See Also
Hyperthyroidism
Thyroid Storm
Indications
Hyperthyroidism
with suspected
Thyroid Storm
Criteria
Thermoregulatory dysfunction
Score 5: Temp 99 to 99.9 F
Score 10: Temp 100 to 100.9 F
Score 15: Temp 101 to 101.9 F
Score 20: Temp 102 to 102.9 F
Score 25: Temp 103 to 103.9 F
Score 30: Temp >104 F
Central Nervous System
Effects
Score 0: Absent
Score 10: Mild (e.g.
Agitation
)
Score 20: Moderate (e.g.
Delirium
,
Psychosis
, severe lethargy)
Score 30: Severe (e.g.
Seizure
, coma)
Gastrointestinal-Hepatic Dysfunction
Score 0: Absent
Score 10: Moderate (e.g.
Diarrhea
,
Nausea
or
Vomiting
,
Abdominal Pain
)
Score 20: Severe (e.g. unexplained
Jaundice
)
Cardiovascular Dysfunction
Score 5:
Pulse
90 to 109
Score 10:
Pulse
110 to 119
Score 15:
Pulse
120 to 129
Score 20:
Pulse
130 to 139
Score 25:
Pulse
>140
Congestive Heart Failure
Dysfunction
Score 0: Absent
Score 10: Mild (e.g. pedal edema)
Score 20: Moderate (e.g. bibasilar rales)
Score 30: Severe (e.g.
Pulmonary Edema
)
Atrial Fibrillation
Score 0: Absent
Score 10: Present
Precipitant History
Score 0: Absent
Score 10: Present
Interpretation
Score 45+:
Thyroid Storm
Score 25 to 44: Impending
Thyroid Storm
Score <25: Unlikely to be
Thyroid Storm
References
Burch (1993) Endocrinol Metab Clin North Am 22(2): 263-77 [PubMed]
Type your search phrase here