Thyrotoxic periodic paralysis: Difference between revisions

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==Clinical Features==
==Clinical Features==
*Painless weakness especially after exercise or diet changes
*Painless [[weakness]] especially after exercise or diet changes
*Lasting hours to days
*Lasting hours to days
*Most common from 20-40 years old
*Most common from 20-40 years old
*Physical Exam
*Physical Exam
**Proximal>Distal muscle weakness
**Proximal > distal muscle weakness
**Hyporeflexia or areflexia
**Hyporeflexia or areflexia


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{{Weakness DDX}}
{{Weakness DDX}}


==Diagnosis==
==Evaluation==
*Hypokalemia
*[[Hypokalemia]]
*[[Thyrotoxicosis]]
*[[Thyrotoxicosis]]
*EMG
*EMG


==Management==
==Management==
*Replete potassium
*Replete [[potassium]]
*Replete magnesium if concomitant hypomag  
*Replete [[magnesium]] if concomitant [[hypomag]]
*EKG (looking for hypokalemic findings)
*[[ECG]] (looking for hypokalemic findings)


==Disposition==
==Disposition==
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==See Also==
==See Also==
[[Hypokalemic periodic paralysis]]
*[[Hypokalemic periodic paralysis]]
*[[Hyperthyroidism]]
 
==External Links==
==External Links==


==References==
==References==
<references/>
<references/>
[[Category:Neurology]]
[[Category:Endocrinology]]

Latest revision as of 16:57, 28 September 2019

Background

Clinical Features

  • Painless weakness especially after exercise or diet changes
  • Lasting hours to days
  • Most common from 20-40 years old
  • Physical Exam
    • Proximal > distal muscle weakness
    • Hyporeflexia or areflexia

Differential Diagnosis

Weakness

Evaluation

Management

Disposition

  • Telemetry admission
  • Endocrine consult

See Also

External Links

References