Volume 1 Issue 1
This report describes patients for whom the preoperative, anesthesia consultation led to postponing planned surgery because of important, undiagnosed health problems.
At the preoperative anesthesia consultation, fever, hidrosis and tachycardia during hospitalization were observed. Hence, family medical history was asked. In family history, his mother had a diagnosis of Basedow disease. Hence, thyroid function test was performed. In thyroid function test, elevated free thyroid hormone concentrations were observed. Hence, postponing planned surgery was decided. In thyroid autoantibody test, elevated TRAb (TSH receptor antibody), antithyroglobulin antibody and thyroid peroxidase antibody were observed. Thus, Basedow disease (Graves' disease) was diagnosed.
Unsuspected thyroid disease should be borne in mind when a hypermetabolism patient enters the surgery. This case-report emphasizes the value of a preoperative anesthesia consultation.
Cite this Article: Ouchi K. A Case of Undiagnosed Hyperthyroidism Detected in Preoperative Anesthesia Consultation. Am J Anesth Clin Res. 2015;1(1): 001-004.
Published: 31 December 2015
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