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Thyroid storm — RACP Written MCQ

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HardEndocrinologyThyroid stormRACP Written

A 39-year-old woman has fever, agitation, diarrhoea and atrial fibrillation. She has Graves disease and stopped carbimazole 2 weeks ago. Temperature is 40.1 C, free T4 is markedly elevated and TSH is suppressed. What is the most appropriate management?

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Correct answer: B — Beta blocker, antithyroid drug, iodine after thionamide and corticosteroid

Thyroid storm requires urgent supportive care, beta blockade, thionamide, iodine given after thionamide, and corticosteroid.

Reference: Therapeutic Guidelines: Endocrinology; AMH