TY - JOUR
T1 - Emergency department management of thyrotoxic crisis with esmolol
AU - Brunette, Douglas D.
AU - Rothong, Carole
PY - 1991/5
Y1 - 1991/5
N2 - A previously healthy 26-year-old woman presented to the emergency department complaining of a severe, throbbing, and bifrontal headache. Initial vital signs were pulse rate, 130 beats/min; blood pressure, 128 50 mm Hg; temperature, 100.1°F. Shortly thereafter the patient's pulse and temperature increased to 170 beats/min and 103°F, respectively. Physical examination showed a tremulous, anxious woman in moderate distress who had a diffusely and symmetrically enlarged thyroid gland. A diagnosis of thyrotoxic crisis was made, and appropriate therapy instituted, including the use of an esmolol infusion for control of hypersympathetic activity. A review of the clinical presentation, diagnosis, and management of thyrotoxic crisis is presented.
AB - A previously healthy 26-year-old woman presented to the emergency department complaining of a severe, throbbing, and bifrontal headache. Initial vital signs were pulse rate, 130 beats/min; blood pressure, 128 50 mm Hg; temperature, 100.1°F. Shortly thereafter the patient's pulse and temperature increased to 170 beats/min and 103°F, respectively. Physical examination showed a tremulous, anxious woman in moderate distress who had a diffusely and symmetrically enlarged thyroid gland. A diagnosis of thyrotoxic crisis was made, and appropriate therapy instituted, including the use of an esmolol infusion for control of hypersympathetic activity. A review of the clinical presentation, diagnosis, and management of thyrotoxic crisis is presented.
KW - Esmolol
KW - Graves disease
KW - thyroid
KW - thyroid storm
KW - thyrotoxic crisis
UR - http://www.scopus.com/inward/record.url?scp=0025765095&partnerID=8YFLogxK
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U2 - 10.1016/0735-6757(91)90083-V
DO - 10.1016/0735-6757(91)90083-V
M3 - Article
C2 - 1673341
AN - SCOPUS:0025765095
SN - 0735-6757
VL - 9
SP - 232
EP - 234
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 3
ER -