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Burch-Wartofsky-Score (Burch-Wartofsky point scale, BWPS)
for severity-assessment of Life-Threatening Thyrotoxicosis

Temperature:
< 37.7 °C / < 99.9 °F
37.8 °C - 38.3 / 100 - 100.9 °F
38.4 - 38.8 °C / 101 - 101.9 °F
38.9 - 39.4 °C / 102 - 102.9 °F
39.5 - 39.9 °C / 103 - 103.9 °F
>= 40 °C />= 104 °F

CNS Effects:
Absent
Mild (agitation)
Moderate (delirium, psychosis, extreme lethargy)
Severe (seizure, coma)

Gastrointestinal-Hepatic Dysfunction:
Absent
Moderate (diarrhea, nausea/vomiting, abdominal pain)
Severe (unexplained jaundice)

Cardiovascular Dysfunction (1)
Tachycardia:
90 - 109 / Min.
110 - 119 / Min.
120 - 129 / Min.
130 - 139 / Min.
>= 140 / Min.

Cardiovascular Dysfunction (2)
Congestive Heart Failure:
Absent
Mild (pedal edema)
Moderate (bibasilar rales)
Severe (pulmonary edema)

Cardiovascular Dysfunction (3)
Atrial Fibrillation:
Absent
Present

Precipitant History:
Negative
Positive


 

Version 1.0, last change 20-VIII-2004.

 

Reference:
Burch, H. B. and L. Wartofsky (1993). "Life-Threatening Thyrotoxicosis. Thyrotoxic storm. " Endocrinology and Metabolism Clinics of North America 22(2): 263-77.

 

 

 

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