<prompt> All are complications of thyroidectomy exceptHoarsenessHemorrageHypercalcaemiaHypothyroidism  <response>: Ans c Hypercalcaemia Ref Bailey 25th ed pg 790Following thyroidectomy hypocalcaemia occurs due to parathyroid insufficiency and not hypercalcaemia.Complications of thyroidectomyHaemorrhage - Reactionary haemorrhage from one of the thyroid arteries.Respiratory obstruction - Most cases are due to laryngeal oedema. Most important causes of laryngeal oedema is tension haematoma.Recurrent laryngeal nerve paralysis - Voice change.Thyroid insufficiency - Usually occurs within 2yrs.Parathyroid insufficiency - Mainly due to vascular injury. Presented 2-5 days after operation.Thyroid crisis stormAcute exacerbation of hyperthyroidism occurs in inadequately prepared patient for thyroidectomy.Symptomatic supportive treatmentIVFCooling the patientsO2 inhalationDiuretics for cardiac failureDigoxin for uncontrolled AFSedationSpecific treatmentCarbimazole 10-20mg 6th hrlyLugols iodine 10 drops 8th hrlyPropranolol IV 1 -2mg or orally 40mg 6th hrlyIV Hydrocortisone 