We will continue our focus on thyroid emergencies. Thryoid storm is a life threatening decompensation of thyrotoxicosis with the classic presenting triad of hyperthermia, altered mental status and sympathetic surge. This is largely a clinical diagnosis and timely, accurate treatment is essential. Read ahead for the treatment regimen and pay particular attention to the ORDER of medications!
Michael Chansky, MD
Diagnosis: Avulsion fracture of the fibular styloid process, compatible with an arcuate sign.
Fibular Styloid Fracture/Arcuate Sign:
Case: 24 year old male with no significant past medical history presents to local urgent care with chief complaint of left knee pain. Patient reports playing basketball just prior to arrival and reports landing on left knee and "jamming it."