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    Myxedema Crisis

    hypothyroid

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    Assessment & Plan (short)

    # Myxedema Crisis
    Patient with*** history of hypothyroidism who presents with altered mental status, hypothermia, and bradycardia, concerning for myxedema crisis. DDx includes ***.
    Dx
    - CBC, CMP, Free T4, TSH, cortisol, lactate
    - CXR, BCx x2, UA, Utox
    - Na, Glucose q2-4h PRN
    - EKG
    Tx
    - Following endo consultation, consider T4 200-400mcg IV, T3 5-20mcg IV, and hydrocortisone 100mg q8h IV
    - Consider empiric antibiotics and fluids if concerned for sepsis
    - Passive warming, mechanical ventilation, pressors PRN

    Organ systems
    • Endocrine
    Medical field
    • Internal medicine
    Setting
    • Inpatient
    Author
    Eric Lee
    Page info

    Originally created: March 3, 2020 by Eric Lee

    [xyz-ips snippet="lastupdated"] [xyz-ips snippet="sectioneditor"] [post-views]

    Number of revisions: [xyz-ips snippet="numrevisions"]

    References
    [xyz-ips snippet="easyfootnote"]
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