Pocket Emergency Medicine by Zane Richard D

Author:Zane, Richard D.
Language: eng
Format: epub
ISBN: 978-1-4698-8872-9
Publisher: LWW
Published: 2014-09-28T16:00:00+00:00

Physical Exam

• Hypothyroidism: Obese, delayed DTRs, diastolic HTN, dry, thick skin SQ tissue (myxedema), bradycardia, pl/pericardial/peritoneal effusion, hypothermia, hypotension, hypoventilation, altered sensorium

• Myxedema coma: Hypothermia & severely altered mental status/coma are hallmark

• Vitals/Pulm/CV: Hypothermia, hypoventilation, hypoxia, hypotension, or bradycardia

• HEENT: Facial swelling, periorbital edema, macroglossia

• Neuro: Lethargy → comatose, cerebellar signs, poor memory & cognition, delayed reflexes

• Psych: “Myxedema madness” disorientation, paranoia, depression, hallucinations, etc.

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