Question
Medical management of thyrotoxic crisis includes all of the following EXCEPT:
The correct answer is
IV antibiotics
Thyrotoxic Crisis Management
Thyrotoxic crisis, also known as thyroid storm, is a severe and potentially life-threatening exacerbation of hyperthyroidism. Its medical management focuses on rapidly reducing thyroid hormone synthesis and action, blocking peripheral conversion of T4 to T3, and managing precipitating factors and symptoms.
Solution Breakdown
The question asks to identify the intervention that is NOT part of the primary medical management for thyrotoxic crisis.
- IV fluids: Essential for maintaining hydration and cardiovascular stability, especially given the hypermetabolic state and potential for dehydration or vomiting.
- IV propanolol: A beta-blocker commonly administered intravenously to quickly control adrenergic symptoms like tachycardia, tremors, and fever. It also partially inhibits peripheral T4 to T3 conversion.
- IV hydrocortisone: Often used to block the conversion of thyroxine (T4) to the more potent triiodothyronine (T3) and to manage potential adrenal insufficiency, which can be exacerbated during stress.
- IV antibiotics: These are not a direct treatment for thyrotoxic crisis itself. Antibiotics are indicated only if an infection is identified as the precipitating factor or a complication of the crisis. They address the underlying cause or secondary issue, not the hyperthyroid state directly.
Therefore, IV antibiotics are the exception among the listed management strategies for thyrotoxic crisis.
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Important Questions from Neck & Breast Surgery
- First line hormone therapy for post-menopausal woman with metastatic carcinoma breast is:
- All of the following are major subtypes of breast cancer based on Gene array analysis EXCEPT:
- Which of the following statements regarding lymphoedema following breast cancer treatment are correct?
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radiotherapy
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1. It represents benign pathology of nipple areola complex
2. It is eczema like condition of nipple and areola
3. Erosion of nipple is seen
4. Nipple biopsy is required for definitive diagnosis
Select the correct answer using the code given below:
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