Posted by: mary smith
what are the symptoms before death in a person with graves disease, who is having a Thyroid Storm?
Adapted from hyperthyroid disorders @ free Suite 101 course:
“The diagnosis of thyroid storm is based on a clinical impression contributed to by physical findings, such as body temperature elevated higher than 100 degrees F or tachycardia (increased heart rate), and increased thyroid hormone levels. Core temperatures exceeding 106 degrees Fahrenheit have been reported in thyroid storm. Patients with ophthalmopathy (protruding eyeballs), goiter (large thyroid) and weight loss may be suspected of having thyroid storm.
Other symptoms seen in thyroid storm are exaggerated symptoms of tachycardia (increased heart rate) out of proportion to fever, mania, confusion, tremor, diarrhea, hyperdefecation (increased bowel movements), nausea, vomiting, diaphoresis (sweating), emotional lability (alternating mood), altered mental status (not thinking clearly), lethargy (tiredness), agitation, muscle weakness of large proximal muscles particularly the shoulders and thighs, arrhythmias (irregular heart rhythm), congestive heart failure (heart pump failure), abdominal pain or jaundice (yellowing of skin due to liver problems). Approximately 50 percent of patients with thyroid storm will have cardiovascular symptoms, such as widened pulse pressure (large difference between the blood pressure during a heart beat and between heart beats), increased systolic blood pressure (increased blood pressure during heart beat), premature ventricular contractions (irregular heart rhythm), atrial arrhythmias (irregular heart rhythm), premature ventricular contractions (irreg. h. r.) and malignant ventricular tachyarrhythmias (irreg. h. r.).
Untreated, thyroid storm can progressively worsen, potentially causing congestive heart failure (heart pump failure), refractory pulmonary edema (lungs fill with fluid), circulatory collapse (blood pressure drops very low), and coma. Death may occur within 72 hours.