Editing Hyperthyroidism (section)

== '''Presentation''' ==

* Tremor
* Heat intolerance
* Tachycardia/AF
* Increased GIT motility
* Muscle weakness
* Anxiety
* Embolic events
* Rarely, severe cardiovascular     complications
** Cardiomyopathy
** CCF
** Cardiovascular collapse
** Death
* Thyroid storm
** Rare life-threatening      complication of hyperthyroidism - severe clinical manifestations
** Can be precipitated by an      acute event (cessation medications, infection, trauma, acute iodine load)
** Tachycardia >140,      febrile, agitation, delirium, progressing to psychosis, stupor, coma
** Altered mentation is the      main differentiating factor from 'normal' hyperthyroidism
** Treat with ICU, beta      blockers, medical treatment of cause of hyperthyroidism, glucocorticoids      to reduce T4-T3 conversion, and treat the cause of the storm
** The main indication for      surgery is patients who had a severe reaction to medical management of      hyperthyroidism, had to stop that agent, then get a thyroid storm, with      no other treatment options available. Otherwise, it is really an      endocrinology emergency.