Apathetic Thyroid Storm with Cardiorespiratory Failure, Pulmonary Embolism, and Coagulopathy in a Young Male with Graves’ Disease and Myopathy

Table 1

The Burch–Wartofsky Point Scale for diagnosis of thyroid storm [5].

Thermoregulatory dysfunction	Temperature (°C)	37.2–37.7	5 points
		37.8–38.3	10
		38.4–38.8	15
		38.9–39.3	20
		39.4–39.9	25
		≥40	30
Cardiovascular dysfunction	Tachycardia (beats/minute)	90–109	5
		110–119	10
		120–129	15
		130–139	20
		≥140	25
	Atrial fibrillation (AF)	Absent	0
		Present	10
Congestive heart failure (CHF)	Status	Absent	0
		Mild	5
		Moderate	10
		Severe	15
Gastrointestinal (GI) and hepatic dysfunction	No gastrointestinal manifestations	Absent	0
	Vomiting, diarrhoea, abdominal pain	Moderate	10
	Jaundice	Severe	20
Central nervous system (CNS) disturbance	No nervous system manifestations	Absent	0
	Agitation	Mild	10
	Delirium, psychosis, extreme lethargy	Moderate	20
	Seizure, coma	Severe	30
Precipitating event	Status	Absent	0
		Present	10 points
Total score	≥45	Thyroid storm
	25–44	Impending storm
	<25	Storm unlikely