title: Not just gastroenteritis: thyroid storm unmasked.
abstract: Establishing the diagnosis of thyroid storm is difficult in the ED, especially where there is no antecedent history of thyroid disease or clinical clues like goitre, exophthalmos or altered mentation, yet early recognition and treatment are essential in reducing mortality and morbidity from this endocrine emergency. We present a case where suspected infective gastroenteritis in a newly diagnosed diabetic masked the major symptomatology of thyroid storm, and review the diagnosis and management of thyrotoxic crisis.
authors.affiliation: Department of Emergency Medicine, Singapore General Hospital, Singapore Health Services, Singapore. rabindcharles@yahoo.com.sg
authors.forename: Rabind Antony
authors.initials: RA
authors.lastname: Charles
authors.forename: Su-Yen
authors.initials: SY
authors.lastname: Goh
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D013956:Antithyroid Agents / Q000627:therapeutic use; D023341:Chills / Q000209:etiology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D004635:Emergency Medicine / Q000379:methods*; D005260:Female; D005334:Fever / Q000209:etiology; D005759:Gastroenteritis / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008875:Middle Aged; D011433:Propranolol / Q000627:therapeutic use; D011441:Propylthiouracil / Q000627:therapeutic use; D013610:Tachycardia / Q000188:drug therapy / Q000209:etiology; D013958:Thyroid Crisis / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000889:Anti-Arrhythmia Agents; D013956:Antithyroid Agents; D007328:Insulin; D011441:Propylthiouracil; D011433:Propranolol