Hyperthyroidism

Hyperthyroidism

Anesthetic relevance
Anesthetic management	{{{anesthetic_management}}}
Specialty
Signs and symptoms
Diagnosis
Treatment
Article quality
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Provide a brief summary of this comorbidity here.

Anesthetic implications

Preoperative optimization

• Continue medical therapy for hyperthyroidism
• Prepare for potentially difficult airway
• Avoid sympathetic stimulation and thyroid storm
  • Consider beta blockade

Signs and symptoms

Signs

• Tachycardia
• Warm skin
• Tremors
• Exophthalmos
• Enlarged thyroid/goiter
• Stridor
• Irregular heart rate
• CHF - elevated JVP, edema

Symptoms

• Hyperactivity
• Weight loss
• Tremor
• Dyspnea
• Palpatations

Diagnosis

Labs

• Thyroid panel: Free thyroxine (T4), triiodothyronine (T3), and TSH
• CBC - look for anemia or thrombocytopenia

Imaging

• CXR/CT/MRI - look for tracheal compression