1. Scenario 6.3
Thyroid Storm

2. Chest X-ray

3. ECG

4. CBC WBC 9.2 4000-12 000/mm3 HGB 11.1 11-15 g/dL HCT 34 30-43% PLT 398

5. BMP Glucose 145 65-100 mg/dL BUN 20 5-20 mg/dL Sodium 137
meq/L
Potassium
3.3
meq/L
Chloride
101
meq/L
CO2 22
22-32 meq/L
Creatinine
1.4
mg/dL

6. Cardiac Enzymes Creatine kinase 100 26-141 IU/L CK-MB 2.9
ng/ml
Troponin I
<0.01
Ref. range:
Normal <0.06 ng/mL
Borderline
Critical >0.78
A value of >0.78 is suggestive of acute MI

7. BNP
Brain Natri. PE
15226
pg/mL

8. Thyroid Panel TSH 0.3 0.5-5.0 mIU/L T3 145 100-200 ng/dL T4 54
mg/dL

9. Arterial Blood Gas Arterial blood pH 7.46 7.35-7.45 Arterial PO2 210
60-70 mmHg
Arterial CO2 28
35-45 mmHg
Arterial HCO3 22
22-26 mmol/L
Arterial % sat.
99%
96-100%
Lactate
1.5
<2.0 mmol/dL

10. Urinalysis Clarity clear Color colorless Glucose negative
negative mg/dL
Bilirubin
Ketones
Sp. grav.
1.015
Blood pH
6.5
Protein
Urobilinogen
0.1
0.2 EU/dL
Nitrites
Leukocytes
Urinanalysis