|
Temperature |
|
|
38-38.5 degrees Celsius |
5 points |
|
38.6-39 degrees Celsius |
10 points |
|
39.1-39.5 degrees Celsius |
15 points |
|
39.6-40 degrees Celsius |
20 points |
|
40.1-40.6 degrees Celsius |
25 points |
|
>40.6 degrees Celsius |
30 points |
| Central nervous system disturbance | |
|
Absent |
0 points |
|
Mild (agitation) |
10 points |
|
Moderate (delirium, psychosis, extreme lethargy) |
20 points |
|
Severe (seizure, coma) |
30 points |
|
Gastrointestinal-hepatic dysfunction |
|
|
Absent |
0 points |
|
Moderate (diarrhea, abdominal pain, nausea/vomiting) |
10 points |
|
Severe (jaundice) |
20 points |
|
Cardiovascular dysfunction |
|
|
Tachycardia (beats/min) |
|
|
<90/min |
0 points |
|
90-109/min |
5 points |
|
110-119/min |
10 points |
|
120-129/min |
15 points |
|
130-139/min |
20 points |
|
≥140/min |
25 points |
|
Congestive heart failure |
|
|
Absent |
0 points |
|
Mild (pedal edema) |
5 points |
|
Moderate (bibasilar rales) |
10 points |
|
Severe (pulmonary edema) |
15 points |
|
Atrial fibrillation |
|
|
Absent |
0 points |
|
Present |
10 points |
|
A precipitating event in patients with untreated or inappropriately treated hyperthyroidism: acute infection, trauma, surgery, childbirth, ketoacidosis, myocardial infarction, stroke or transient ischemic attack, radioiodine treatment (rarely), or administration of iodinated contrast media |
|
|
Absent |
0 points |
|
Present |
10 points |
|
<25 points, unlikely to represent thyrotoxic crisis; 25-44 points, suggestive of impending crisis; ≥45 points, highly suggestive of thyrotoxic crisis; rapid, aggressive specific and supportive treatment required. |
|
|
Adapted from mdcalc.com. |
|