This is an rare n lif threateing increase in d severity of c/f of thyroxicosis.
- seen shortly after thyoidectomy.
- seen in pt operated for witout having recognised hyperthyroidism
- other precipitating factors - cerebrovascular accidents, actue coronary syndrome, diabetic ketoacidosir, mejor trauma etc.
C/F
- severe mental n physical exhaustion occur wit deliriun, delusion or mania, dehadration, ketosis, tabhyacardia,
- temp. Is characteristicly raised.
TREATMENT
- Rehydration n antibiotics
- control hyperthermia wit external coolin.
- Benzodiazpines for agitation.
- propenolol oraly or iv
- Lugols iodine 10 drop tid
- sodium iopodate 500mg dily
- propylthiouracil 800-1200 mg orally
- iv hydrocortisone
- digoxin for cardiac failure.
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