Thyroid storm following trauma: A pitfall in the emergency department
Abstract We present a case of a patient with thyroid storm exhibiting symptoms similar to those of traumatic injury. This patient presented multiple traumatic wounds on his limbs and face, loss of consciousness, and tachycardia. Diagnosis was initially confounded by the similarity between the sympto...
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Veröffentlicht in: | Injury 2015-01, Vol.46 (1), p.169-171 |
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creator | Liang, Chia-Ming Ho, Meng-Hsing Wu, Xi-Yuan Hong, Zhi-Jie Hsu, Sheng-Der Chen, Cheng-Jueng |
description | Abstract We present a case of a patient with thyroid storm exhibiting symptoms similar to those of traumatic injury. This patient presented multiple traumatic wounds on his limbs and face, loss of consciousness, and tachycardia. Diagnosis was initially confounded by the similarity between the symptoms of traumatic hypovolemic shock and trauma-induced thyroid storm. This case report discusses the factors leading to the diagnostic delay and highlights the dangerous manifestations of thyroid storm. |
doi_str_mv | 10.1016/j.injury.2014.08.003 |
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This patient presented multiple traumatic wounds on his limbs and face, loss of consciousness, and tachycardia. Diagnosis was initially confounded by the similarity between the symptoms of traumatic hypovolemic shock and trauma-induced thyroid storm. This case report discusses the factors leading to the diagnostic delay and highlights the dangerous manifestations of thyroid storm.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2014.08.003</identifier><identifier>PMID: 25174661</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Accidents, Traffic ; Adult ; Antithyroid Agents - administration & dosage ; Delayed Diagnosis ; Emergency Service, Hospital ; Endocrinologic emergency ; Humans ; Injury Severity Score ; Male ; Orthopedics ; Potassium Iodide - administration & dosage ; Propylthiouracil - administration & dosage ; Risk Assessment ; Thyroid Crisis - diagnosis ; Thyroid Crisis - drug therapy ; Thyroid Crisis - etiology ; Thyroid Function Tests ; Thyroid storm ; Treatment Outcome ; Wounds and Injuries - complications ; Wounds and Injuries - therapy</subject><ispartof>Injury, 2015-01, Vol.46 (1), p.169-171</ispartof><rights>Elsevier Ltd</rights><rights>2014 Elsevier Ltd</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-803a6c58646e74a69539a7e37472289d8b21882d18a8004c523602911632bb983</citedby><cites>FETCH-LOGICAL-c487t-803a6c58646e74a69539a7e37472289d8b21882d18a8004c523602911632bb983</cites><orcidid>0000-0001-6102-0046</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.injury.2014.08.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25174661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, Chia-Ming</creatorcontrib><creatorcontrib>Ho, Meng-Hsing</creatorcontrib><creatorcontrib>Wu, Xi-Yuan</creatorcontrib><creatorcontrib>Hong, Zhi-Jie</creatorcontrib><creatorcontrib>Hsu, Sheng-Der</creatorcontrib><creatorcontrib>Chen, Cheng-Jueng</creatorcontrib><title>Thyroid storm following trauma: A pitfall in the emergency department</title><title>Injury</title><addtitle>Injury</addtitle><description>Abstract We present a case of a patient with thyroid storm exhibiting symptoms similar to those of traumatic injury. 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This case report discusses the factors leading to the diagnostic delay and highlights the dangerous manifestations of thyroid storm.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Antithyroid Agents - administration & dosage</subject><subject>Delayed Diagnosis</subject><subject>Emergency Service, Hospital</subject><subject>Endocrinologic emergency</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Orthopedics</subject><subject>Potassium Iodide - administration & dosage</subject><subject>Propylthiouracil - administration & dosage</subject><subject>Risk Assessment</subject><subject>Thyroid Crisis - diagnosis</subject><subject>Thyroid Crisis - drug therapy</subject><subject>Thyroid Crisis - etiology</subject><subject>Thyroid Function Tests</subject><subject>Thyroid storm</subject><subject>Treatment Outcome</subject><subject>Wounds and Injuries - complications</subject><subject>Wounds and Injuries - therapy</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi1ERZfCP0DIRy4J44_YDgekqiq0UqUeWs6W15ltHZJ4sZ2i_PtmtYUDF05zed53NM8Q8oFBzYCpz30dpn5OS82ByRpMDSBekQ0zuq2AK_2abAA4VEwYcUre5twDMA1CvCGnvGFaKsU25PL-cUkxdDSXmEa6i8MQf4fpgZbk5tF9oed0H8rODQMNEy2PSHHE9ICTX2iHe5fKiFN5R05WJOP7l3lGfny7vL-4qm5uv19fnN9UXhpdKgPCKd8YJRVq6VTbiNZpFFpqzk3bmS1nxvCOGWcApG-4UMBbxpTg221rxBn5dOzdp_hrxlzsGLLHYXATxjlbpiQo0zZarqg8oj7FnBPu7D6F0aXFMrAHgba3R4H2INCCsavANfbxZcO8HbH7G_pjbAW-HgFc73wKmGz2YdWBXUjoi-1i-N-Gfwv8EKbg3fATF8x9nNO0OrTMZm7B3h2eePghk2taiUY8A-XiljE</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Liang, Chia-Ming</creator><creator>Ho, Meng-Hsing</creator><creator>Wu, Xi-Yuan</creator><creator>Hong, Zhi-Jie</creator><creator>Hsu, Sheng-Der</creator><creator>Chen, Cheng-Jueng</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6102-0046</orcidid></search><sort><creationdate>20150101</creationdate><title>Thyroid storm following trauma: A pitfall in the emergency department</title><author>Liang, Chia-Ming ; Ho, Meng-Hsing ; Wu, Xi-Yuan ; Hong, Zhi-Jie ; Hsu, Sheng-Der ; Chen, Cheng-Jueng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-803a6c58646e74a69539a7e37472289d8b21882d18a8004c523602911632bb983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Antithyroid Agents - administration & dosage</topic><topic>Delayed Diagnosis</topic><topic>Emergency Service, Hospital</topic><topic>Endocrinologic emergency</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Orthopedics</topic><topic>Potassium Iodide - administration & dosage</topic><topic>Propylthiouracil - administration & dosage</topic><topic>Risk Assessment</topic><topic>Thyroid Crisis - diagnosis</topic><topic>Thyroid Crisis - drug therapy</topic><topic>Thyroid Crisis - etiology</topic><topic>Thyroid Function Tests</topic><topic>Thyroid storm</topic><topic>Treatment Outcome</topic><topic>Wounds and Injuries - complications</topic><topic>Wounds and Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liang, Chia-Ming</creatorcontrib><creatorcontrib>Ho, Meng-Hsing</creatorcontrib><creatorcontrib>Wu, Xi-Yuan</creatorcontrib><creatorcontrib>Hong, Zhi-Jie</creatorcontrib><creatorcontrib>Hsu, Sheng-Der</creatorcontrib><creatorcontrib>Chen, Cheng-Jueng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liang, Chia-Ming</au><au>Ho, Meng-Hsing</au><au>Wu, Xi-Yuan</au><au>Hong, Zhi-Jie</au><au>Hsu, Sheng-Der</au><au>Chen, Cheng-Jueng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thyroid storm following trauma: A pitfall in the emergency department</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>46</volume><issue>1</issue><spage>169</spage><epage>171</epage><pages>169-171</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><abstract>Abstract We present a case of a patient with thyroid storm exhibiting symptoms similar to those of traumatic injury. This patient presented multiple traumatic wounds on his limbs and face, loss of consciousness, and tachycardia. Diagnosis was initially confounded by the similarity between the symptoms of traumatic hypovolemic shock and trauma-induced thyroid storm. This case report discusses the factors leading to the diagnostic delay and highlights the dangerous manifestations of thyroid storm.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>25174661</pmid><doi>10.1016/j.injury.2014.08.003</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0001-6102-0046</orcidid></addata></record> |
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subjects | Accidents, Traffic Adult Antithyroid Agents - administration & dosage Delayed Diagnosis Emergency Service, Hospital Endocrinologic emergency Humans Injury Severity Score Male Orthopedics Potassium Iodide - administration & dosage Propylthiouracil - administration & dosage Risk Assessment Thyroid Crisis - diagnosis Thyroid Crisis - drug therapy Thyroid Crisis - etiology Thyroid Function Tests Thyroid storm Treatment Outcome Wounds and Injuries - complications Wounds and Injuries - therapy |
title | Thyroid storm following trauma: A pitfall in the emergency department |
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