History

• 49 yo F  pHx asthma presents  ED with worsening DOE for the last month acutely worsening today 
• No prior hospitalizations or intubations for asthma exacerbation 

ROS

• Positive for dyspnea, palpitation
• Positive for abdominal distention, which she attributes to constipation

PMHx

• Moderate intermittent asthma on albuterol PRN 

Physical Exam

Today's Back to Basics is a review of thyroid storm: signs & symptoms, diagnosis and treatment.

Remember to include thyroid storm on your differental for hyperthermic and altered patients.  Here are some strategies for treatment and pitfalls to avoid!