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Free Open Access Short Answer Questions for ED Fellowship Study

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Case: Thyroid storm

A 34 year old woman presents to the Emergency Department with confusion, vomiting and fever. Her history includes thyroid issues. Her wife is unsure if she has been taking her regular medication. Her vital signs are:

  • Temp 39.9 °C
  • HR 168 bpm
  • BP 157/95 mmHg
  • RR 25 /min
  • Sats 96% RA
  • GCS 13/15 (E3, V4, M6)
BSL 12 Her thyroid function tests return with the following results: TSH <0.01 (0.5 – 5 mU/L) T4 57 (12 – 22 pmol/L) T3 24 (3 – 6 pmol/L)

1. Complete the table listing agent, dose/route and action for the treatment of this condition. (12 marks) 12 marks

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