Library
Endocrine
·
hard
Thyroid Storm
Flowchart
Play
Block synthesis, release, and conversion all at once.
Decision
Outcome
Decision
Thyroid storm — order of medications?
✓
β-blocker (propranolol) → PTU/methimazole → iodine (1 h after thionamide) → glucocorticoid
✗
Iodine first
Outcome
Burch–Wartofsky score guides diagnosis. Cooling, IV fluids, treat precipitant
PTU preferred over methimazole in storm (blocks peripheral T4→T3 conversion).