Thyrotoxic crisis

The thyrotoxic crisis occurs by exacerbating the symptoms of hyperthyroidism to such an extent that it threatens the patient's life.

Clinical manifestations

 * significant tachycardia (up to 150/min)
 * Unrest, tremor, higher temperature
 * Abdominal pain, nausea, vomiting, diarrhea, dehydration
 * delirious states

Etiopathogenesis

 * A thyrotoxic crisis can be caused by untreated or poor treatment of hyperthyroidism, which is associated with infection, surgery or injury.
 * Discontinuation of established thyrostatic therapy.
 * It can also be caused by iodine preparations.

Diagnostics
Laboratory elevation of thyroid hormones (T3, T4).

Treatment

 * Administration of thyrostatics (carbimazole p.o. or NGT), eventually Lugol's solution.
 * beta-blockers for the treatment of cardiovascular problems.
 * Glucocorticoids, the administration of which prevents heart failure.
 * Physical cooling or paracetamol to reduce the temperature.
 * Correction of dehydration of the organism, oxygen therapy.
 * Preventive ATB and reassuring the patient.
 * Benzodiazepines
 * After unsuccessful exhaustion of all treatment, we proceed to plasmapheresis and peritoneal dialysis.