Table 2 Burch and Wartofsky's criteria for thyroid storm (score of 45 or more is highly suggestive of thyroid storm). The patient's scores are noted in bold.
Temperature | |
|---|---|
99–99.9 | 5 |
100–100.9 | 10 |
101–101.9 | 15 |
102–102.9 | 20 |
103–103.9 | 25 |
≥104 | 30 |
CNS effects | |
Absent | 0 |
Mild (agitation) | 10 |
Moderate (delirium, psychosis, extreme lethargy) | 20 |
Severe (seizures, coma) | 30 |
Gastrointestinal-hepatic dysfunction | |
Absent | 0 |
Moderate (diarrhea, N/V, abdominal pain) | 10 |
Severe (unexplained jaundice) | 20 |
Cardiovascular dysfunction | |
90–109 | 5 |
110–119 | 10 |
120–129 | 15 |
130–139 | 20 |
≥140 | 25 |
Congestive heart failure | |
Absent | 0 |
Mild (pedal edema) | 5 |
Moderate (bibasilar rales) | 10 |
Severe (pulmonary edema) | 15 |
Atrial fibrillation | |
Absent | 0 |
Present | 10 |
Precipitating event | |
Absent | 0 |
Present | 10 |