Endocrinology

Burch-Wartofsky Score

Likelihood of thyroid storm.

Education and reference only. Not a substitute for clinical judgement, local policy or product labelling. Always verify before clinical use. Values are calculated in your browser and never stored.

When to use

Use in suspected thyrotoxicosis to estimate the likelihood of thyroid storm and the need for urgent treatment.

Why use

It helps recognise thyroid storm, a life-threatening emergency.

Critical actions

Thyroid storm is a medical emergency — treat clinically; do not wait for the score. A score ≥45 is highly suggestive.

Evidence & references

Burch HB, Wartofsky L. Life-threatening thyrotoxicosis: thyroid storm. Endocrinol Metab Clin North Am. 1993.

About the creator

Burch HB, Wartofsky L

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