Case Reports in Endocrinology / 2020 / Article / Tab 1

Case Report

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 dysfunctionTemperature (°C)37.2–37.75 points
37.8–38.310
38.4–38.815
38.9–39.320
39.4–39.925
≥4030

Cardiovascular dysfunctionTachycardia (beats/minute)90–1095
110–11910
120–12915
130–13920
≥14025
Atrial fibrillation (AF)Absent0
Present10

Congestive heart failure (CHF)StatusAbsent0
Mild5
Moderate10
Severe15

Gastrointestinal (GI) and hepatic dysfunctionNo gastrointestinal manifestationsAbsent0
Vomiting, diarrhoea, abdominal painModerate10
JaundiceSevere20

Central nervous system (CNS) disturbanceNo nervous system manifestationsAbsent0
AgitationMild10
Delirium, psychosis, extreme lethargyModerate20
Seizure, comaSevere30

Precipitating eventStatusAbsent0
Present10 points

Total score≥45Thyroid storm
25–44Impending storm
<25Storm unlikely

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