MedBugs: SAQ #82

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Case: Found down

A 63-year-old female is BIBA to your ED atier being found face down on the floor in her home. She was last seen well 36 hours prior to being found. On arrival she is maintaining her own airway and there are no obvious external signs of significant trauma. Her initial obs are : GCS 9 (E4, V2, M3), RR 10, Sats 100% on room air, HR 45, BP 95/70, Temp 27ºC

1. List (6) important differential diagnoses to consider for her presentation 6 marks

An ECG is performed.

2. List (2) salient findings and an interpretation 3 marks

Imaging does not identify any traumatic injuries. The pathology lab calls and reports that preliminary thyroid function tests are very abnormal with TSH >100 IU/mL and T3/T4 undetectable

3. State (3) SPECIFIC pharmacologic treatments you could initiate based on the results above 3 marks

Other appropriate bloods and imaging are still pending.

4. Outline (6) other broad management considerations for this patient. 6 marks

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Case: Found down

1. List (6) important differential diagnoses to consider for her presentation 6 marks

2. List (2) salient findings and an interpretation 3 marks

3. State (3) SPECIFIC pharmacologic treatments you could initiate based on the results above 3 marks

4. Outline (6) other broad management considerations for this patient. 6 marks

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