Thyrotoxic periodic paralysis

Revision as of 20:54, 15 November 2015 by Ostermayer (talk | contribs)

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

Diagnosis

Management

  • Replete potassium
  • Replete magnesium if concomitant hypomag
  • EKG (looking for hypokalemic findings)

Disposition

  • Telemetry admission
  • Endocrine consult

See Also

Hypokalemic periodic paralysis

External Links

References