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=== Burch & | === Burch & Wartofsky Diagnostic Criteria === | ||
{| class="wikitable" | {| class="wikitable" | ||
| align="center" style="background:#f0f0f0;"|'''Category''' | | align="center" style="background:#f0f0f0;"|'''Category''' | ||
| Line 6: | Line 6: | ||
!colspan="6"|Thermoregulatory dysfunction (Temperature) | !colspan="6"|Thermoregulatory dysfunction (Temperature) | ||
|- | |- | ||
| 99-99.9||5 | |Tmax= 99-99.9||5 | ||
|- | |- | ||
| 100-100.9||10 | |Tmax= 100-100.9||10 | ||
|- | |- | ||
| 101-101.9||15 | |Tmax= 101-101.9||15 | ||
|- | |- | ||
| 102-102.9||20 | |Tmax= 102-102.9||20 | ||
|- | |- | ||
| 103-103.9||25 | |Tmax= 103-103.9||25 | ||
|- | |- | ||
| 104||30 | |Tmax= 104||30 | ||
|- | |- | ||
!colspan="6"|Central nervous system effects | !colspan="6"|Central nervous system effects | ||
| Line 25: | Line 25: | ||
|- | |- | ||
| Severe (seizure, coma)||30 | | Severe (seizure, coma)||30 | ||
|- | |- | ||
!colspan="6"|Gastrointestinal-hepatic dysfunction | !colspan="6"|Gastrointestinal-hepatic dysfunction | ||
| Line 47: | Line 36: | ||
!colspan="6"|Cardiovascular dysfunction (tachycardia) | !colspan="6"|Cardiovascular dysfunction (tachycardia) | ||
|- | |- | ||
| 99-109 | |HR= 99-109 | ||
| 5 | | 5 | ||
|- | |- | ||
| 110-119 | |HR= 110-119 | ||
| 10 | | 10 | ||
|- | |- | ||
| 120-129 | |HR= 120-129 | ||
| 15 | | 15 | ||
|- | |- | ||
| 130-139 | |HR= 130-139 | ||
| 20 | | 20 | ||
|- | |- | ||
| 140 | |HR= 140 | ||
| 25 | | 25 | ||
| | |- | ||
!colspan="6"|[[Congestive Heart Failure]] | |||
|- | |- | ||
| Mild (pedal edema) | | Mild (pedal edema) | ||
| | | 5 | ||
|- | |- | ||
| Moderate (bibasilar rales) | | Moderate (bibasilar rales) | ||
| | | 10 | ||
|- | |- | ||
| Severe ([[pulm edema]], [[A. fib]]) | | Severe ([[pulm edema]], [[A. fib]]) | ||
| | | 15 | ||
| | |- | ||
!colspan="6"|Precipitant history | |||
|- | |- | ||
| Negative | | Negative | ||
| | | 0 | ||
|- | |- | ||
| Positive | | Positive | ||
| | | 10 | ||
|} | |} | ||
Revision as of 04:05, 6 May 2015
Burch & Wartofsky Diagnostic Criteria
| Category | Points | ||||
| Thermoregulatory dysfunction (Temperature) | |||||
|---|---|---|---|---|---|
| Tmax= 99-99.9 | 5 | ||||
| Tmax= 100-100.9 | 10 | ||||
| Tmax= 101-101.9 | 15 | ||||
| Tmax= 102-102.9 | 20 | ||||
| Tmax= 103-103.9 | 25 | ||||
| Tmax= 104 | 30 | ||||
| Central nervous system effects | |||||
| Mild (Agitation) | 10 | ||||
| Moderate (delirium, psychosis, extreme lethargy) | 20 | ||||
| Severe (seizure, coma) | 30 | ||||
| Gastrointestinal-hepatic dysfunction | |||||
| Moderate (diarrhea, n/v, abd pain) | 10 | ||||
| Severe (unexplained jaundice) | 20 | ||||
| Cardiovascular dysfunction (tachycardia) | |||||
| HR= 99-109 | 5 | ||||
| HR= 110-119 | 10 | ||||
| HR= 120-129 | 15 | ||||
| HR= 130-139 | 20 | ||||
| HR= 140 | 25 | ||||
| Congestive Heart Failure | |||||
| Mild (pedal edema) | 5 | ||||
| Moderate (bibasilar rales) | 10 | ||||
| Severe (pulm edema, A. fib) | 15 | ||||
| Precipitant history | |||||
| Negative | 0 | ||||
| Positive | 10 | ||||
Scoring
- >45 = Highly suggestive of thyroid storm
- 25-44 = Suggestive of impending storm
- <25 = Unlikely to represent storm