Background
Thyroid crisis is a complication hypertiroidisme a rare but potentially fatal. Thyroid crisis must be recognized and addressed by the clinical manifestations because laboratory confirmation often can not be done in the timeframe that pretty quickly. Patients usually show hypermetabolik state characterized by high fever, tachycardi, nausea, vomiting, agitation, and psychosis. In the advanced stage, the patient may fall into a state of stupor or komatus accompanied by hypotensi.1
Thyroid crisis is a rare disease, which only happens about 1-2% of patients hypertiroidisme. While the overall incidence of hyperthyroidism itself only ranged from 0.05 to 1.3%, which most of them are subclinical. However, thyroid crisis unrecognized and untreated can have fatal consequences. Adult mortality in thyroid crisis reaches 10-20%. Even some of the research reports say as high as 75% of the patient population treated inap.1 With a controlled thyrotoxicosis and early treatment of thyroid crisis, the death rate can be reduced to less than 20% .2
Because the cause of hyperthyroidism is Graves' disease is an autoimmune disease most and that also affects other organ systems, conducting history is very important to enforce diagnosis.3 This is important because the diagnosis of thyroid crisis based on the clinical picture and not the picture laboratoris.2, 11.16 Another important note is that thyroid crisis is a crisis that requires fulminant intensive care and continuous supervision menerus.4 With early diagnosis and adequate treatment, the prognosis is usually going well.1 therefore need a proper understanding of thyroid crisis, especially regarding the diagnosis and penatalaksaannya.
Definition
some definitions:
Thyroid crisis is a condition where the symptoms of thyrotoxicosis with suddenly become great and accompanied by hyperpireksia, tachycardia and sometimes vomiting that continues menerus.11
Hypermetabolic thyroid crisis is a life-threatening condition and is characterized by high fever and dysfunction of the cardiovascular system, nervous system, and channel system cerna.5 Initially, arising hyperthyroidism which is a collection of symptoms caused by increased levels of circulating thyroid hormone with or without abnormal thyroid gland function. When the number was greatly exaggerated, there is a cluster of symptoms are more severe, the crisis tirotoksikosis.1 thyroid is a condition in which the body's happening decompensated thyrotoxicosis tersebut.6 Typically occurs in patients with untreated thyrotoxicosis or not completely heal triggered by surgery, infection , or trauma.1
Thyroid crisis is a complication hypertiroidisme a rare but potentially fatal. Thyroid crisis must be recognized and addressed by the clinical manifestations because laboratory confirmation often can not be done in the timeframe that pretty quickly. Patients usually show hypermetabolik state characterized by high fever, tachycardi, nausea, vomiting, agitation, and psychosis. In the advanced stage, the patient may fall into a state of stupor or komatus accompanied by hypotensi.1
Thyroid crisis is a rare disease, which only happens about 1-2% of patients hypertiroidisme. While the overall incidence of hyperthyroidism itself only ranged from 0.05 to 1.3%, which most of them are subclinical. However, thyroid crisis unrecognized and untreated can have fatal consequences. Adult mortality in thyroid crisis reaches 10-20%. Even some of the research reports say as high as 75% of the patient population treated inap.1 With a controlled thyrotoxicosis and early treatment of thyroid crisis, the death rate can be reduced to less than 20% .2
Because the cause of hyperthyroidism is Graves' disease is an autoimmune disease most and that also affects other organ systems, conducting history is very important to enforce diagnosis.3 This is important because the diagnosis of thyroid crisis based on the clinical picture and not the picture laboratoris.2, 11.16 Another important note is that thyroid crisis is a crisis that requires fulminant intensive care and continuous supervision menerus.4 With early diagnosis and adequate treatment, the prognosis is usually going well.1 therefore need a proper understanding of thyroid crisis, especially regarding the diagnosis and penatalaksaannya.
Definition
some definitions:
Thyroid crisis is a condition where the symptoms of thyrotoxicosis with suddenly become great and accompanied by hyperpireksia, tachycardia and sometimes vomiting that continues menerus.11
Hypermetabolic thyroid crisis is a life-threatening condition and is characterized by high fever and dysfunction of the cardiovascular system, nervous system, and channel system cerna.5 Initially, arising hyperthyroidism which is a collection of symptoms caused by increased levels of circulating thyroid hormone with or without abnormal thyroid gland function. When the number was greatly exaggerated, there is a cluster of symptoms are more severe, the crisis tirotoksikosis.1 thyroid is a condition in which the body's happening decompensated thyrotoxicosis tersebut.6 Typically occurs in patients with untreated thyrotoxicosis or not completely heal triggered by surgery, infection , or trauma.1
