Q: Thyroid storm is usually associated with? (select one)
A) Hypocalcemia
B) Hypercalcemia
Answer: B
Though not diagnostic but various biochemical abnormalities are supportive of suspected thyroid storm in patients with suppressed TSH and elevated T3 or/and T4. It includes hypercalcemia, abnormal liver enzymes, hyperglycemia, leukocytosis, or leukopenia. Hypercalcemia, as expected, is from hemoconcentration and increased bone resorption.
#endocrinology
#electrolytes
Reference:
Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am 2006; 35:663.
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