Talk:Thyroid storm

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Jrvance, Jeralynn805, Stargenesis5. Peer reviewers: MostlyCaffeine, UCCMG2018, Jwb3131.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 04:19, 18 January 2022 (UTC)

Correction for a possible mistake

In the pathophysiology section, "sympathetic activation", it's written "Sympathetic activation increases production of thyroid hormone by the thyroid gland. In the setting of elevated thyroid hormone, the density of thyroid hormone receptors (esp. beta-receptors) also increases, which enhances the response to catecholamines." Shouldn't that be adrenergic receptors instead of thyroid hormone receptors? — Preceding unsigned comment added by 185.244.153.249 (talk) 16:21, 16 December 2020 (UTC)

Source

doi:10.1016/j.mcna.2012.01.015 is a recent thorough review, including the 1993 Burch & Wartofsky score now often used in clinical practice (should be incorporated). JFW | T@lk 19:21, 26 December 2013 (UTC)

doi:10.1177/0885066613498053 may be useful at some point (JICM, in print). JFW | T@lk 20:32, 26 December 2013 (UTC)

Plan for article editing December 2017

Hi All,

We are UCSF medical students (Jrvance, Jeralynn805, StrG5) working on improving this page as part of a medical school course. We have listed our goals and plan for editing this article.

Goal #1: Improve and add content sections. The article is missing several sections suggested by Wikiproject Medicine. The current sections also lack key information (i.e. pathogenesis). Proposed sections to add/improve include:

• Risk factors - StrG5
• Signs and symptoms - StrG5
• Pathophysiology - StrG5
• Diagnostic criteria - Jrvance
• Laboratory findings - Jrvance **To my peer reviewer—I plan to add more. Please feel free to suggest what to add. Thank you!**
• Immediate management - Jeralynn805
• Long-term management - Jeralynn805
• Summary paragraph - All (each editor will summarize their section in 1-2 sentences)
  

Goal #2: Improve readability of article. Our initial assessment of the article is that it lacks clarity and detail. We will improve the language of the article to make it informative and interesting for students and for lay people.

Timeline:

• Week 1 (11/20-26): decide which sections to improve/add, collect resources
• Week 2 (11/27-12/3): draft edits within google doc or sandbox
• Week 3 (12/4-10): complete edits and transfer to Wikipedia in time for peer review on 12/7
• Week 4 (12/11-15): respond to feedback from peer edits, make further changes

Please let us know if you have any questions or suggestions! — Preceding unsigned comment added by Stargenesis5 (talk • contribs) 21:35, 26 November 2017 (UTC)

There's only a very limited number of good secondary sources on the subject. Textbooks (recent ones please) might be helpful. JFW | T@lk 21:47, 26 November 2017 (UTC)

StrG5 Wiki Peer Review - MostlyCaffeine (12/11/17)

Topics Contributed by StrG5: Risk factors, Signs and symptoms, Pathophysiology Overall great job, most of comments related to using layman's terms and clarity

Risk factors

• Unsure where to find this content

Signs and symptoms

• Consider adding some qualifying statement to the mortality percents listed here. Such as stating “identifying these symptoms is important because mort is…” or “these cardiac complications are a driving factor in the mort rate being so high”

Pathophysiology

• Define “uncomplicated” - the level of thyroid hormone cannot fully predict thyroid storm. Some people will have the the storm with the same thyroid level..”
• Consider listing causes outright first: “increase in free thyroid hormone and increased sensitivity to free thyroid…. Increased by release and decreased binding…”
• Define or hyperlink “adrenergic & sympathetic activation & catecholamines”
• Add clarity to this last sentence:

According to newer theories, thyroid storm results from allostatic failure in a situation were thyrotoxicosis hampers the development of non-thyroidal illness syndrome,[8] which would help to save energy in critical illness and other situations of high metabolic demand.[9] — Preceding unsigned comment added by MostlyCaffeine (talk • contribs) 19:23, 11 December 2017 (UTC)

Thanks MostlyCaffeine for your comments!

I changed "Risk factors" to "Causes."

Sorry for the confusion!

StrG5 16:26, 13 December 2017 (UTC) — Preceding unsigned comment added by Stargenesis5 (talk • contribs)

Peer review- 12/11/17

I am focused on editing jeralynn805's contribution which is on the short and long-term management section:

-The starter/overview paragraph is great- I especially like the outline of main targets of the treatments

-I wonder if the next part would be smoother if the paragraph was divided into a few paragraphs that each focus on one of the targets that you mentioned. Then you can feel more free to expand and add supplemental information on each of them without the paragraph feeling too confusing/long

-The sentence about the non-selective beta blockers is confusing as written- I think maybe it needs a comma

-There are a couple places where the language might be made simpler- for example “due to their inhibitory effects on peripheral deiodinases.” Since deiodinases were not particularly discussed in this sub-section, it may make sense to simplify this text or say “since they prevent thyroid hormone from being converted to…” or however makes sense to explain it

-Based on your work plan, it seemed like you wanted to break the section down into short term management and long-term management. I think this could still be helpful, unless your research has shown that they are too similar for that to be fruitful. Maybe if that is the case, you could say "patients typically will continue on therapy for x amount of time (or lifelong)" or whatever the long-term expectation is (if that information is available).

Good work!!

UCCMG2018 (talk) 21:57, 11 December 2017 (UTC)