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Updated: Nov 14, 2025

Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
Published on: February 9, 2024
A Case of Thyroid Storm: Lessons Regarding the Use of Iodinated Contrast and Beta Blockers
Jacob Haiar1, Scott Hiltunen2,1
1University of South Dakota Sanford School of Medicine, Vermillion, South Dakota.
Abstract:
Presented here is a case of thyroid storm. Thyroid storm is a rare and life-threatening pathology that requires delicate management, even at presentation. Important nuances of care are discussed, including avoidance of iodinated contrast until a thionamide has been administered and proper selection of a beta-blocker. Regarding the administration of iodinated contrast, this case is particularly interesting because pulmonary embolism was on the differential, and CT angiography of the chest was circumvented. Acute heart failure, comorbid asthma, and the necessity for transport to a larger healthcare facility complicated the selection of a beta blocker.
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