SAQ 1168 – Post-thyroidectomy stridor in a rural ED

Marked out of 12.00

A previously well 37-year-old woman presents to your rural ED with acute shortness of breath. She had an elective total thyroidectomy in an urban centre 3 days ago and was discharged today. She takes levothyroxine 100 micrograms daily and has no allergies. Initial observations were recorded as stable.

She has no features suggesting hypocalcaemia. Examination reveals an expanding anterior neck swelling covered by a simple dressing and audible stridor.

Other than hypocalcaemia, list four (4) important postoperative complications of thyroidectomy.

(Marked out of 4.0)


/ 4

List three (3) clinical features associated with hypocalcaemia.

(Marked out of 3.0)


/ 3

List five (5) immediate steps you will take to manage this situation.

(Marked out of 5.0)


/ 5

Total Score: 0 / 12

Percentage: 0%