Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm

Table 1

Burch-Wartofsky thyroid storm scoring system.

​	Points
Temperature	​
37.2–37.7	5
37.8–38.2	10
38.3–38.8	15
38.9–39.4	20
39.4–39.9	25
>40	30
CNS effects
Mild (agitation)	10
Moderate (delirium/psychosis)	20
Severe (seizure/coma)	30
GI symptoms
Mild (diarrhea)	10
Severe (jaundice)	20
Tachycardia
99–109	5
110–119	10
120–129	15
130–139	20
>140	25
CHF symptoms
Mild	5
Moderate	10
Severe	15
Atrial fibrillation
Absent	0
Present	10
Precipitant history
Negative	0
Present	10
Total score
<25: thyroid storm unlikely
25–44: suggestive of thyroid storm
>45: highly suggestive of thyroid storm