SAQ 772 – Endocrinology – myxoedema coma diagnosis and thyroid hormone dosing

A 75-year-old woman presents from her nursing home with one week of worsening confusion, lethargy and hypothermia. She is now obtunded and her TSH is markedly elevated, so you suspect myxoedema coma.

Apart from the features already mentioned, list five (5) physical examination features of myxoedema coma.

(Marked out of 5.0)

/ 5

Apart from thyroid hormone levels, list four (4) blood test abnormalities expected in this patient.

(Marked out of 4.0)

/ 4

Give your T3 and T4 dosing for this patient.

(Marked out of 2.0)

/ 2

What other essential treatment, including dose, would you give?

(Marked out of 1.0)

/ 1

Total Score: 0 / 12

Percentage: 0%