THYROID CRISIS

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.