Myxedema coma

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Triggers

  • Infection
  • Ischemia/myocardial infarction
  • Stroke
  • Hypothermia

Clinical Presentation

  • Decreased level of consciousness
  • Hypothermia
  • Bradycardia
  • Hypotension
  • Bradypnea
  • Hypoxia
  • Hypoglycemia
  • Hyponatremia
  • Triggers
  • ** Stroke
      • Infection
      • Ischemia
      • Infarction
      • Hypothermia

Management

  • IV thyroxine (T3)
  • Steroids for presumed adrenal insufficiency
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