| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website http://www.journalmc.org |
Case Report
Volume 4, Number 11, November 2013, pages 715-718
Myxoedema Coma: A Very Rare Presentation of Severe Hypothyroidism
Tables
| Altered level of consciousness |
| Bradycardia |
| Hypothermia |
| Hypoglycemia |
| Hypotension |
| Hyponatraemia |
| Concurrent (precipitating) illness |
| Serum for TSH, T4 and cortisol |
| Administration of intravenous thyroxine (T4) and triiodothyronine (T3) |
| Switch to oral rhyroxine when patient stable |
| Stress dose intravenous hydrocortisone |
| Supportive measures |
| Ventilatory support |
| Fluids/vasopressors to correct hypotension |
| Passive rewarming |
| Correction of hypoglycaemia |
| Treatment of underlying infection |