November 2019

Thyroid Storm Treatment

00:00
14:38
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Stephen B. -

How dangerous is the iodide load/exposure from say a CT chest w/ IV contrast in these patients who have not yet had pre-treatment (i.e. propranolol ptu etc)? Anecdotally, I've had two cases (thyrotoxicosis) where before the diagnosis was made the patient received IV contrast. The patients did not seem to have any adverse reaction but would be interested in hearing the group's thoughts as I would image a sizable portion of these patients get contrast exposure before a diagnosis is made.

Carl P. -

I had this same thought while listening. It may be the cost of doing business where rapid CT is indicated based on presentation, but otherwise it seems prudent to wait for labs to order the scan in patients where thyroid disease is higher on your differential.

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Thyroid Emergencies Full episode audio for MD edition 83:50 min - 117 MB - M4AC3 - Thyroid Emergencies - Board Review Answers 165 KB - PDFC3 - Thyroid Emergencies - Board Review Questions 105 KB - PDFC3 - Thyroid Emergencies Individual MP3 Files 109 MB - ZIPC3 - Thyroid Emergencies - Written Summary 412 KB - PDF