症例 challenge · Endocrinology / Emergency / Critical care · teaching

Thyroid Storm — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Burch-Wartofsky

Case #1Endocrinology / Emergency / Critical care

📋 Case data

Does it suggest thyroid storm?Storm / impending (≥25)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Does it suggest thyroid storm?

What does the Burch-Wartofsky score suggest?

💡 Life-threatening thyrotoxicosis. Burch-Wartofsky (temperature, CNS, GI-hepatic, heart rate, heart failure, AF, precipitant): ≥45 suggests storm, 25–44 impending, <25 unlikely. Common precipitants: infection, surgery, drug withdrawal, iodinated contrast, DKA.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.