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Table 1 Burch-Wartofsky Point Scale

From: Thyroid storm in pregnancy: a review

Thermoregulatory Dysfunction

 Temperature (°F/°C)

  99 to 99.9 | 37.2 to 37.7

5

  100 to 100.9 | 37.8 to 38.2

10

  101 to 101.9 | 38.3 to 38.8

15

  102 to 102.9 | 38.9 to 39.4

20

  103 to 103.9 | 39.4 to 39.9

25

   ≥ 104.0 |≥ 40.0

30

Central Nervous System Effects

 Agitation

10

 Delirium/Psychosis/Extreme lethargy

20

 Seizure/Coma

30

Gastrointestinal/hepatic Dysfunction

 Diarrhea/nausea/vomiting/abdominal pain

10

 Unexplained jaundice

20

Cardiovascular Dysfunction

 Heart rate

  99 to 109

5

  110 to 119

10

  120 to 129

15

  130 to 139

20

   ≥ 140

25

 Atrial fibrillation

10

 Heart failure

    with pedal edema

5

    with bibasilar rales

10

    with pulmonary edema

15

History of Precipitating Factors

 Present

10

 Absent

0

  1. A score of > 45 or more is suggestive of thyroid storm, a score of 25–44 suggests impending thyroid storm and thyroid storm is unlikely if the score is < 25