<prompt> Treatment of Thyroid crisis are all EXCEPTNeomethimazolePropranolIodineIodide  <response>: C i.e. Iodine 714 - CMDT- 09 2237- H17th 988 - 09THYROTOXIC CRISIS OR THYROID STORM Presents as life threatening exacerbation of hyperthyroidism Fever, delirium, seizures, coma, vomiting, diarrhea and jaundice Mortality rate due to cardiac failure, arrhythmia or hyperthermia Precipitating factors, acute illness eg stroke, infections, trauma, diabetic ketoacidosis, surgery especially on the thyroid or radio iodine treatment of patients with partially or unteated hyperthyroidism of patients with partially or untreated hyperthyroidismTreatmenti Large doses of prophylthiouracil is the antithyroid drug of choice methimazole orally every 6 hrs - 988- CMDT- 09ii Stable iodide given to block thyroid hormone synthesis Pot. iodide or ipodate or iopanoic acid, sodium iodideiii Propranol - reduce tachycardia and other adrenergic manifestationiv Additional measure include - gluco corticoids, antibiotics, cooling, oxygen, IV fluidsv LugoV iodine 10 drops 8hrly by mouth or sodium iodide 791 - Baily Love 25th, 660 - S. Das 5th Definitive treatment with 131I or surgery is delayed until the patient is euthyroid 988- CMDT - 09 Aspirin is avoided since displaces T4 from, TBG, raising FT4 serum levels 