A 36-year-old woman with known Graves' disease presents with fever 39.5 °C, marked agitation, tachycardia 150/min, atrial fibrillation and vomiting. S...

Question

A 36-year-old woman with known Graves' disease presents with fever 39.5 °C, marked agitation, tachycardia 150/min, atrial fibrillation and vomiting. She is confused and sweaty. Thyroid function tests are pending. What is the most appropriate immediate treatment?

Accepted Answer

Propranolol and high-dose propylthiouracil plus IV hydrocortisone

Answer

Radioiodine ablation

Answer

Levothyroxine replacement

Answer

Thyroidectomy under emergency general anaesthesia

Answer

No specific therapy until thyroid function is confirmed

au-acem MCQ (SBA): Thyroid storm initial management

A 36-year-old woman with known Graves' disease presents with fever 39.5 °C, marked agitation, tachycardia 150/min, atrial fibrillation and vomiting. She is confused and sweaty. Thyroid function tests are pending. What is the most appropriate immediate treatment?