A 34-year-old woman with untreated Graves disease is brought to the emergency department with fever, agitation, vomiting, and palpitations 1 day after emergency abdominal surgery. She is diaphoretic and confused, with heart rate 168 per minute and blood pressure 170/90 mm Hg. Which of the following is the best next step in management?
- A)Low dose dexamethasone suppression test
- B)Propranolol, propylthiouracil, glucocorticoids, and supportive careGABARITO
- C)Phenoxybenzamine only
- D)Desmopressin and free water
- E)Levothyroxine only
Explicação
Thyroid storm is life threatening thyrotoxicosis requiring beta blockade, thionamide therapy, glucocorticoids, and supportive care. Ver explicação completa e trilha adaptativa →