Acuut
/* CSS styles specific to the ThyrotoxicCrisisCalculator */
#ThyrotoxicCrisisCalculator .calculator-content {
display: none;
}
/* Other styles specific to the ThyrotoxicCrisisCalculator */
function calculateThyroToxicCrisis() { const bodyTemperatureInput = document.getElementById("thyroBodyTemperatureInput").value; const cnsInput = document.getElementById("thyroCNSInput").value; const gastroInput = document.getElementById("thyroGastroInput").value; const heartRateInput = document.getElementById("thyroHeartRateInput").value; const decompensationInput = document.getElementById("thyroDecompensationInput").value; const afInput = document.getElementById("thyroAFInput").value; const triggersInput = document.getElementById("thyroTriggersInput").value; let totalScore = 0; switch (bodyTemperatureInput) { case "normal": totalScore += 0; break; case "range_1": totalScore += 5; break; case "range_2": totalScore += 10; break; case "range_3": totalScore += 15; break; case "range_4": totalScore += 20; break; case "range_5": totalScore += 25; break; case "range_6": totalScore += 30; break; } switch (cnsInput) { case "normal": totalScore += 0; break; case "mild": totalScore += 10; break; case "moderate": totalScore += 20; break; case "severe": totalScore += 30; break; } switch (gastroInput) { case "normal": totalScore += 0; break; case "moderate": totalScore += 10; break; case "severe": totalScore += 20; break; } switch (heartRateInput) { case "normal": totalScore += 0; break; case "range_1": totalScore += 5; break; case "range_2": totalScore += 10; break; case "range_3": totalScore += 15; break; case "range_4": totalScore += 20; break; case "range_5": totalScore += 25; break; } switch (decompensationInput) { case "normal": totalScore += 0; break; case "mild": totalScore += 5; break; case "moderate": totalScore += 10; break; case "severe": totalScore += 15; break; } switch (afInput) { case "absent": totalScore += 0; break; case "present": totalScore += 10; break; } switch (triggersInput) { case "absent": totalScore += 0; break; case "present": totalScore += 10; break; } let diagnosis = ""; if (totalScore < 25) { diagnosis = "Diagnose thyreotoxische crisis onwaarschijnlijk"; } else if (totalScore >= 25 && totalScore <= 44) { diagnosis = "Ondersteunt de diagnose thyreotoxische crisis"; } else if (totalScore > 45) { diagnosis = "Diagnose thyreotoxische crisis waarschijnlijk"; } const resultHTML = "Score: " + totalScore + "
" + "Referentiewaarden:
" + "< 25: Diagnose thyreotoxische crisis onwaarschijnlijk
" + "25-44: Ondersteunt de diagnose thyreotoxische crisis
" + "> 45: Diagnose thyreotoxische crisis waarschijnlijk"; document.getElementById("ThyrotoxicCrisisResult").innerHTML = resultHTML; // Show the result, copy button, and references document.getElementById("ThyrotoxicCrisisResult").style.display = "block"; document.getElementById("ThyrotoxicCrisisCopyButton").style.display = "block"; document.getElementById("ThyrotoxicCrisisReference").style.display = "block"; } function ThyrotoxicCrisis_copyToClipboard() { const resultDiv = document.getElementById("ThyrotoxicCrisisResult"); const textArea = document.createElement("textarea"); // Extracting text content directly for plain text textArea.value = resultDiv.innerText; document.body.appendChild(textArea); textArea.select(); document.execCommand("Copy"); textArea.remove(); alert("Result copied to clipboard"); }
document.addEventListener('DOMContentLoaded', function() {
const thyrotoxicCrisisButton = document.querySelector('#ThyrotoxicCrisisCalculator .calculator-button');
const thyrotoxicCrisisContent = document.querySelector('#ThyrotoxicCrisisCalculator .calculator-content');
thyrotoxicCrisisButton.addEventListener('click', function() {
if (thyrotoxicCrisisContent.style.display === 'none' || thyrotoxicCrisisContent.style.display === '') {
thyrotoxicCrisisContent.style.display = 'block';
} else {
thyrotoxicCrisisContent.style.display = 'none';
}
});
});
Normaal
37.2-37.7
37.8-38.2
38.3-38.8
38.9-39.3
39.4-39.9
≥ 40
Normaal
Milde stoornis (agitatie)
Matige stoornis (delier, psychose, lethargie)
Ernstige stoornis (epileptische aanvallen, coma)
Normaal
Matige stoornis (diarree, misselijkheid, braken, buikpijn)
Ernstige stoornis (onverklaarde icterus)
Normaal
90-109
110-119
120-129
130-139
≥ 140
Normaal
Mild (perifeer oedeem)
Matig (beiderzijds crepiteren)
Ernstig (longoedeem)
Afwezig
Aanwezig
Afwezig
Aanwezig
function calculateThyroToxicCrisis() { const bodyTemperatureInput = document.getElementById("thyroBodyTemperatureInput").value; const cnsInput = document.getElementById("thyroCNSInput").value; const gastroInput = document.getElementById("thyroGastroInput").value; const heartRateInput = document.getElementById("thyroHeartRateInput").value; const decompensationInput = document.getElementById("thyroDecompensationInput").value; const afInput = document.getElementById("thyroAFInput").value; const triggersInput = document.getElementById("thyroTriggersInput").value; let totalScore = 0; switch (bodyTemperatureInput) { case "normal": totalScore += 0; break; case "range_1": totalScore += 5; break; case "range_2": totalScore += 10; break; case "range_3": totalScore += 15; break; case "range_4": totalScore += 20; break; case "range_5": totalScore += 25; break; case "range_6": totalScore += 30; break; } switch (cnsInput) { case "normal": totalScore += 0; break; case "mild": totalScore += 10; break; case "moderate": totalScore += 20; break; case "severe": totalScore += 30; break; } switch (gastroInput) { case "normal": totalScore += 0; break; case "moderate": totalScore += 10; break; case "severe": totalScore += 20; break; } switch (heartRateInput) { case "normal": totalScore += 0; break; case "range_1": totalScore += 5; break; case "range_2": totalScore += 10; break; case "range_3": totalScore += 15; break; case "range_4": totalScore += 20; break; case "range_5": totalScore += 25; break; } switch (decompensationInput) { case "normal": totalScore += 0; break; case "mild": totalScore += 5; break; case "moderate": totalScore += 10; break; case "severe": totalScore += 15; break; } switch (afInput) { case "absent": totalScore += 0; break; case "present": totalScore += 10; break; } switch (triggersInput) { case "absent": totalScore += 0; break; case "present": totalScore += 10; break; } let diagnosis = ""; if (totalScore < 25) { diagnosis = "Diagnose thyreotoxische crisis onwaarschijnlijk"; } else if (totalScore >= 25 && totalScore <= 44) { diagnosis = "Ondersteunt de diagnose thyreotoxische crisis"; } else if (totalScore > 45) { diagnosis = "Diagnose thyreotoxische crisis waarschijnlijk"; } const resultHTML = "Score: " + totalScore + "
" + "Referentiewaarden:
" + "< 25: Diagnose thyreotoxische crisis onwaarschijnlijk
" + "25-44: Ondersteunt de diagnose thyreotoxische crisis
" + "> 45: Diagnose thyreotoxische crisis waarschijnlijk"; document.getElementById("ThyrotoxicCrisisResult").innerHTML = resultHTML; // Show the result, copy button, and references document.getElementById("ThyrotoxicCrisisResult").style.display = "block"; document.getElementById("ThyrotoxicCrisisCopyButton").style.display = "block"; document.getElementById("ThyrotoxicCrisisReference").style.display = "block"; } function ThyrotoxicCrisis_copyToClipboard() { const resultDiv = document.getElementById("ThyrotoxicCrisisResult"); const textArea = document.createElement("textarea"); // Extracting text content directly for plain text textArea.value = resultDiv.innerText; document.body.appendChild(textArea); textArea.select(); document.execCommand("Copy"); textArea.remove(); alert("Result copied to clipboard"); }
Richtlijnen
UpToDate
Literatuur
interne.nl extra informatie*
Achtergrond
- Zeldzame, levensbedreigende manifestatie van hyperthyreoidie met hoge mortaliteit (10-30%, bron UpToDate)
- Meestal geluxeerd door het abrupt staken van schildklier-remmende medicatie, of een acuut event zoals een operatie, trauma, infectie, of partus
- Kliniek wordt gekarakteriseerd door de gebruikelijke symptomen passend bij hyperthyreoidie, maar dan in ernstiger vorm
- Diagnose wordt gesteld op basis van kliniek (gebruik de calculator)
Behandeling
- Laagdrempelig opname op IC voor bewaking en ondersteuning
- Combinatie van hoge doseringen strumazol of PTU, propranolol, jodium (plummeren), en glucocorticoïden (hydrocortison)
- Behandeling van eventuele luxerende ziekte
- Indien hyperthermie: koelen
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