Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
Predicts likelihood that biochemical thyrotoxicosis is thyroid storm.
INSTRUCTIONS
Use in patients ≥18 years old with biochemical thyrotoxicosis.
When to Use
Pearls/Pitfalls
Why Use
<99
099–99.9 (37.2-37.7)
+5100–100.9 (37.8-38.2)
+10101–101.9 (38.3-38.8)
+15102–102.9 (38.9-39.2)
+20103–103.9 (39.3-39.9)
+25≥104.0 (≥ 40.0)
+30Absent
0Mild (agitation)
+10Moderate (delirium, psychosis, extreme lethargy)
+20Severe (seizures, coma)
+30Absent
0Moderate (diarrhea, nausea/vomiting, abdominal pain)
+10Severe (unexplained jaundice)
+20<90
090-109
+5110-119
+10120-129
+15130-139
+20≥140
+25Absent
0Mild (pedal edema)
+5Moderate (bibasilar rales)
+10Severe (pulmonary edema)
+15No
0Yes
+10No
0Yes
+10Result:
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