Thyroid storm refers to the life threatening acute presentation of thyroid hormone excess of any cause, typified by pyrexia, tachycardia, neurological disturbance, gastrointestinal upset and heart failure.
Thorough general examination is mandatory in the assessment of any acutely unwell patient.
Pyrexia is a cardinal feature of thyroid storm.
Tachycardia, atrial fibrillation and cardiac failure are key features of thyroid storm.
Abdominal pain and jaundice may be associated with thyroid storm.
This is mandatory in a patient presenting with confusion or agitation to seek other underlying causes.
In the very unwell or uncooperative patient CNS examination this can be difficult but GCS and mini mental state assessment must always be documented as a bare minimum.