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Which laboratory tests are essential for confirming a diagnosis of thyroid storm in a primary care setting?
Answer
The provided UK guideline, 'Thyroid disease: assessment and management' 1, does not specifically detail essential laboratory tests for confirming a diagnosis of thyroid storm in a primary care setting.
The guideline focuses on tests for suspected thyroid dysfunction, such as measuring thyroid-stimulating hormone (TSH), free thyroxine (FT4), and free tri-iodothyronine (FT3) 1. For confirmed thyrotoxicosis, it outlines tests to differentiate between hyperthyroidism with and without hyperthyroidism, including measuring TSH receptor antibodies (TRAbs) and considering technetium scanning 1. Thyroid peroxidase antibodies (TPOAbs) are also mentioned for children and young people with thyrotoxicosis 1. However, these are for general thyrotoxicosis and not specifically for the acute, severe presentation of thyroid storm 1.
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