TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Myxedema coma is a rare, life-threatening medical emergency with mortality rate of 30-60% [1]. Symptoms include altered mental status, hyponatremia, hypothermia, hypotension, bradycardia, and hyperventilation. Treatment may supportive mechanical ventilation vasopressors in addition to thyroid hormone replacement We p...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Myxedema coma may be the first presentation of patients with undiagnosed hypothyroidism. We present here a case 60-year-old female patient, presenting initially myxedema no prior hypothyroidism history. CASE PRESENTATION: 60year old past medical history schizophrenia, bipolar disorder, recurrent falls fractures, oste...

Less than four percent of patients with hypothyroidism develop ascites. Ascites as the presenting feature of hypothyroidism is uncommon, hence diagnosis is often delayed. Once it is diagnosed, treatment of hypothyroidism leads to quick clinical improvement in ascites. We report a case of a female patient who presented with ascites secondary to severe hypothyroidism and discuss the diagnostic ch...

Persistent pericardial effusion in the absence of obvious preceding or concurrent disease presents a baffling problem. In such cases chylopericardium, cholesterol pericarditis, lupus erythematosus, malignant disease, myxedema, severe anemia, and scleroderma, must be considered. Six cases are reported with large effusions present for from 1 to 11 years. The diagnostic measures to be used, the re...

The failure of certain non-myxedematous subjects to respond to large doses of oral dried thyroid has been previously noted (1). The lack of responsiveness contrasts sharply with the sensitivity to dried thyroid invariably evinced by patients with true myxedema (1, 2). In this paper, the responses of various non-myxedematous subjects to thyroid medication are described. In certain of these indiv...