Author: Adnan Akram / Editor: Steve Corry-Bass / Codes: EnC6, EnP3, SLO1, SLO2, SLO3 / Published: 04/06/2025
A 73-year-old female is brought by ambulance. She lives alone and is found collapsed at home by her neighbours. The patient has not attended her GP appointments for more than 6 months, which means poor drug compliance.
Her past medical history includes hyperlipidaemia, hypothyroidism and hypertension.
Following are her prescribed medications:
- Amlodipine
- Atorvastatin
- Levothyroxine
On examination:
- Oxygen Saturation- 93% room Air
- Respiratory Rate- 13
- Blood Pressure- 89/56
- Heart Rate- 47
- Temperature- 34.1 C
- Glasgow Come Scale – Eye- 3, Verbal- 3, Motor- 5 = 11/15- Moving all extremities with no facial asymmetry.
- Glucose 6.5 mmol/L
- No Rash
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Question 1 of 3
1. Question
What is your diagnosis?
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Question 2 of 3
2. Question
After history, physical and investigations, she is diagnosed with Myxoedema Coma.
What are the common features of Myxoedema coma? (Select all that apply)
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Question 3 of 3
3. Question
What bloods abnormalities can you find in addition to high TSH and low T4? (Select all that apply)
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2 responses
Excellent case discussion
Great Revision