Endocrine/Metobolic

Question 1

Myxedema

Answer 1

Undiagnosed/Treated Hypothyroid
MC in elderly women
Associated precipitating factor (ins, CHF, CVA)
S/S: Bradycardia, CNS depression, non pitting edmea.

Question 2

Thyroid Storem

Answer 2

Untreated Hyperthyroid
Precipitating event
S/S: Hypermetabolic state: palpitations, atrial fib, tachycardia, fevers, n/v

Question 3

Acute Adrenal Insufficiency

Answer 3

W/drawl of glucocorticoids.
s/s: shock, hypotension, hypovolemia, abd pain, lethargy
Dx: Hypo