“…The clinical picture of the thyroid storm is characterized by four main features: (1) Fever 20,21 , (2) sinus tachycardia or a variety of supraventricular arrhythmias (paroxysmalatrial tachycardia, atrial flutter and atrialfibrillation), often accompanied by various degrees of congestive heart failure 17,22 , (3) central nervous system symptoms (agitation, restlessness, confusion, delirium andcoma) [13][14][15][16][17][18][19][20][21][22][23][24][25] , and finally (4) gastrointestinal symptoms, in particular vomiting, diarrhea, intestinal obstruction. 26,27 Unexplained jaundice is suggestive for thyroid storm, but is a poor prognostic sign.…”