RESUMO
Thyroid storm is a severe manifestation of thyrotoxicosis. Thyroid storm is diagnosed as a combination of thyroid function studies showing low to undetectable thyroid stimulating hormone (TSH) (<0.01mU/L) with elevated free thyroxine (T4) and/or triiodothyronine (T3), positive thyroid receptor antibody (TRab) (if Graves' disease is the underlying etiology), and with clinical signs and symptoms of end organ damage. Treatment involves bridging to a euthyroid state prior to total thyroidectomy or radioactive iodine ablation to limit surgical complications such as excessive bleeding from highly vascular hyperthyroid tissue or exacerbation of thyrotoxicosis. The purpose of this article is a clinical review of the various treatments and methodologies to achieve a euthyroid state in patients with thyroid storm prior to definitive therapy.
Assuntos
Doença de Graves , Iodo , Crise Tireóidea , Neoplasias da Glândula Tireoide , Tireotoxicose , Doença de Graves/complicações , Doença de Graves/tratamento farmacológico , Humanos , Iodo/uso terapêutico , Radioisótopos do Iodo/uso terapêutico , Crise Tireóidea/diagnóstico , Crise Tireóidea/etiologia , Crise Tireóidea/terapia , Tireotoxicose/complicações , Tireotropina/uso terapêutico , Tiroxina/uso terapêutico , Tri-Iodotironina/uso terapêuticoRESUMO
The SARS-CoV-2 outbreak has led to an increase in sedentary lifestyles compounded with the loss of access to public exercise facilities and limited fresh grocery supply. With the multitude of possible diet options available, how do you choose one that works with your lifestyle, financial means, and ultimately proves to be most effective? In this article, we review the medical benefits and challenges of several different types of fasting diets that can be adopted by the general public.
