Hyperthyroidism
Anesthetic relevance
Anesthetic management

{{{anesthetic_management}}}

Specialty
Signs and symptoms
Diagnosis
Treatment
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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

Intraoperative management

Postoperative management

Related surgical procedures

Pathophysiology

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

Treatment

Medication

Surgery

Prognosis

Epidemiology

References