Reason for thyroid storm after thyroid surgery are:
Ans. B. Inadequate preoperative preparation* Thyroid storm is a condition of hyperthyroidism accompanied by fever, central nervous system agitation or depression, and cardiovascular dysfunction.* Spontaneous thyroid storm in a patient with Graves most commonly occurs due to infection.* Thyroid storm after thyroidectomy mainly occurs due to inadequate preoperative preparation.* Occasionally, thyroid storm may result from amiodarone administration or exposure to iodinated contrast agent or following RIA therapy.Treatment for Thyroid Storm* Propylthiouracil to prevent peripheral T4 to T3 synthesis* Lugol's iodine up to 30 drops* Sodium iopodate/potassium iodide infusion intravenously* Propranolol for decreasing heart rate* Steroids to prevent adrenal exhaustion.* Digoxin for atrial fibrillation* Diuretics for CCF
Infection
Inadequate preoperative preparation
Thyroiditis
Rough handling of thyroid at surgery
Endocrinology