*Hospital Management Guidelines

Patients with Thyrotoxic Hypokalemic Paralysis Patient’s Name:________________________________________________ Birthdate: ________Height: _______Weight: _______ Address: ____________________________________________________ ______________________________________________________________ Primary Physician:___________________________________________ Physician contact: ___________________________________________ FAX:_______________________________ Emergency contact:  Your emergency contact should be someone who can speak for you when you cannot advocate for yourself. Name:_________________________________________________________                     Relationship:_________________________________________________ home phone#  _________________  cell#_____________________                      PRECAUTIONS: Place patient in coma position to avoid aspiration during…

*The Man Who Couldn’t Walk

Case Study of Thyrotoxic Hypokalemic Paralysis A case study Originally published in Lifeline; Newsletter of The California Chapter of the American College of Emergency Physicians Christopher Fee, MD and Susan B. Promes, MD FACEP Alameda County California Medical Center, Highland General Hospital Acute weakness is a common patient complaint in the emergency department with a…

*Thyrotoxic Hypokalemic Periodic Paralysis

A Physician’s Summary Clinical Synopsis Thyrotoxic periodic paralysis (THKPP) is an uncommon disorder characterized by simultaneous thyrotoxicosis, hypokalemia, and paralysis that occurs primarily in males of Asian descent, including patients of Japanese, Chinese, Vietnamese, Korean, and Filipino ancestry.  It most commonly presents as sudden onset weakness in the proximal muscles. It is reversible when treated…

*Thyrotoxic HypoKPP FAQs for Patients

What is Thyrotoxic Hypokalemic Periodic Paralysis? Thyrotoxic Hyperkalemic Periodic Paralysis (TPP) is an uncommon disorder with three characteristics which occur at the same time:   ​TPP occurs most often in males of Asian descent, including Japanese, Chinese, Vietnamese, Korean and Filipinos. It also occurs more frequently in those of Native American and Latin American descent, but…

*Emergency Treatment of Thyrotoxic Hypokalemic Periodic Paralysis

First Actions: A True Endocrine Emergency Patients with Thyrotoxic Hypokalemic Periodic Paralysis typically present at the ER with an acute episode of paralysis involving the muscles of the extremities and limb girdles. The lower limbs are more frequently and severely involved than the upper. Weakness may be asymmetrical. Proximal strength is more severely impaired than…

Thyrotoxic Hypokalemic Periodic Paralysis

Submitted by deb on Sun, 07/17/2011 – 19:37 Clinical Synopsis Thyrotoxic periodic paralysis (THKPP) is an uncommon disorder characterized by simultaneous thyrotoxicosis, hypokalemia, and paralysis that occurs primarily in males of Asian descent, including patients of Japanese, Chinese, Vietnamese, Korean and Filipino ancestry. Kilpatrick et al. (1994) found six reports of thyrotoxic hypokalemic periodic paralysis in African-Americans…

The Man Who Couldn’t Walk

Submitted by deb on Sun, 06/26/2011 – 00:00 A case study Originally published in Lifeline; Newsletter of The California Chapter of the American College of Emergency Physicians Christopher Fee, MD and Susan B. Promes, MD FACEP Alameda County California Medical Center, Highland General Hospital Acute weakness is a common patient complaint in the emergency department with a…

Meal Plan Template

Submitted by deb on Sun, 07/03/2011 – 23:34 When I’m in the middle of an abortive attack meal planning goes right out the window. I can look at a fridge and pantry full of food and not be able to figure out what to do with any of it. The only way to avoid feeding the family…

Pain in the Periodic Paralyses

Submitted by deb on Sat, 06/25/2011 – 23:22 Pain Often Overlooked Pain is an often overlooked component of the periodic paralyses. Patients who report muscle pain in association with their episodes are too often told that the periodic paralyses are not painful despite many authoritative reports to the contrary. In fact the pain which accompanies the periodic…