• J Emerg Med · Nov 1996

    Case Reports

    Thyroid storm precipitated by trauma.

    • D Yoshida.
    • Emergency Services, San Francisco General Hospital, University of California San Francisco, USA.
    • J Emerg Med. 1996 Nov 1; 14 (6): 697-701.

    AbstractA 21-year-old woman presented to the emergency department complaining of head, neck, and abdominal pain after being assaulted. She denied a previous history or significant symptoms of hyperthyroidism. The physical examination was remarkable for lethargy, low-grade fever, tachycardia, facial abrasions, swelling of the anterior neck, and a tremor. A diagnosis of thyroid storm was made. An extensive work up excluded other causes of the patient's tachycardia, altered mental status, and neck swelling. A review of the clinical features and management of thyroid storm is presented. Relatively minor trauma can be a precipitating event for thyroid storm.

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