title: Thyrotoxic Periodic Paralysis: A Puzzling Case of Chest Pain and Weakness.
abstract: Thyrotoxic periodic paralysis is an uncommon thyroid emergency that is associated with electrolyte disturbances and a progressive flaccid paralysis of lower and upper extremities. Although not typically diagnosed within the emergency department setting, advanced practice registered nurses may be key in identifying this unusual condition where rapid and appropriate treatment precipitated by hyperthyroidism, most commonly resulting from Graves' disease can mitigate adverse cardiac, renal, and neurologic sequelae.
authors.affiliation: Nell Hodgson Woodruff School of Nursing, Emory University (Ms Mickis), Northside Emergency Associates, Inc. (Ms Castleberry), and Nell Hodgson Woodruff School of Nursing, Emory University (Dr Evans), Atlanta, Georgia.
authors.forename: Mary
authors.initials: M
authors.lastname: Mickis
authors.forename: Tania
authors.initials: T
authors.lastname: Castleberry
authors.forename: Dian Dowling
authors.initials: DD
authors.lastname: Evans
mesh_terms: D002637:Chest Pain; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D006111:Graves Disease / Q000150:complications*; D006801:Humans; D020514:Hypokalemic Periodic Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D018908:Muscle Weakness