10
Graves' Disease
Table 4. Point Scale for the Diagnosis of Thyroid Storm
Criteria Points Criteria Points
ermoregulatory dysfunction Gastrointestinal-hepatic dysfunction
Temperature °F (°C) Manifestation
99.0–99.9 (37.2–37.7) 5 Absent 0
100.0–100.9 (37.8–38.3) 10 Moderate
(diarrhea, abdominal pain,
nausea/vomiting )
10
101.0–101.9 (38.3–38.8) 15 Severe (jaundice) 20
102.0–102.9 (38.9–39.4) 20
103.0–103.9 (39.4–39.9) 25
≥ 104.0 (>40) 30
Cardiovascular Central nervous system disturbance
Tachycardia (beats per minute) Manifestation
100–109 5 Absent 0
110–119 10 Mild (agitation) 10
120–129 15 Moderate (delirium,
psychosis, extreme letharg y)
20
130–139 20 Severe (seizure, coma) 30
≥ 140 25
Atrial fibrillation
Absent 0
Present 10
Congestive heart failure Precipitant history
Absent 0 Status
Mild 5 Positive 10
Moderate 10 Negative 0
Severe 20
Scores Totaled
>45 yroid storm
25–44 Impending storm
<25 Storm unlikely
Burch and Wartofsky, Endocrinol Metab Clin North Am. 22:263-277. Printed with permission.
