Thyroid storm after total thyroidectomy is due to?: (A) Damage of RLN, (B) Rough handling during surgery, (C) Removal of parathyroid, (D) Inadequate preoperative preparation
Answer is D. Management: b blockers- |T4, |T3 conversion, | Hypehyroid symptoms O2 + Hemodynamic suppo Non- Aspirin Anti - Pyretics - | fever I.V Lugol's Iodine - | I2 uptake Propylthiouracil (PTU) - | T4 to T3 conversion. decreased production of thyroid hormone. Coicosteroids.