From: DailyQuestion@...
Date: June 9, 2009 4:11:04 AM PDT
To: glennskow@...
Subject: EMedHome Question of the Day

The EMedHome Question of the Day is:

A patient presents to the ED with myxedema coma.  What two medications should be administered intravenously in the ED?

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The Answer is:

Myxedema coma, a potentially lethal complication of hypothyroidism, is treated with levothyroxine IV.  An IV glucocorticoid is also recommended until adrenal insufficiency has been excluded (Journal of Emergency Medicine, Vol. 28, pg. 203).


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