Case: A 70 year-old female with a past medical history of CAD and Type 2 Diabetes presents to the ED with generalized weakness, fatigue, and confusion for the past week. Her caretaker denies any inciting events and notes a progressive decline in her health during this time. She checked the patient’s blood sugar at home …
Category: Endocrine
Levothyroxine; a clinical discussion
Levothyroxine (also known as synthroid) is a synthetic T4 analog commonly used in the treatment of primary, secondary, and tertiary hypothyroidism, and a medication that is often encountered in the Emergency Department. As an NTI (narrow therapeutic index) medication, levothyroxine can have clinically serious side effects if sub- or supratherapeutic doses are taken by the …
Case of the Month – June
A 70 y.o female with T2DM, HTN, CKD, CHF, Hypothyroidism presents via ambulance from home for AMS. Report via EMS is the patient was febrile at home yesterday, and family called EMS this morning due to patient speaking to people in the corner of the room that were not actually there. The patient was found …
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