PS
Patrick Sullivan, MD

Attending Physician

Active Chart · MRN SYN-1022

Jennifer Adams

38 y/o F · Thyroid storm

AllergiesIodine (rash)
Chart flagsGraves disease · Medication non-adherent
Visit focusThyroid storm — multi-drug thyroid blockade and rate control
AdmittingDr. Carol Bennett
Visit StatusIn Progress

Chart Review

Encounter timeline and laboratory review

Encounter timeline

Linked visit history and responsible clinicians.

Inpatient

Thyroid storm · Dr. Carol Bennett

OPEN

Started Mar 7, 2026, 4:30 AM

Notes

Progress and clinical documentation

Endocrinology consult

CONSULT · Dr. P. Sharma · Mar 7, 2026, 5:15 AM

SIGNED

Burch-Wartofsky score 55 consistent with thyroid storm. Graves disease with PTU non-adherence x3 weeks. Needs PTU, beta-blocker for rate control, stress-dose hydrocortisone, and cooling measures. Iodine allergy limits SSKI use.

Orders

Medication, lab, and imaging entry

CBC

LAB · Mar 7, 2026, 4:40 AM

SIGNED

Parameters: STAT

Rationale: Baseline before thionamide.

Thyroid function panel

LAB · Mar 7, 2026, 4:40 AM

SIGNED

Parameters: STAT

Rationale: Confirm thyrotoxicosis.

Wrap-Up

Finalize documentation and orders

Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.