Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Thyroid Disorders

Dave Ahlers, MD

  • Myxedema coma and thyroid storm are a clinical diagnosis, start treatment without testing if suspicious.
  • For thyroid storm give beta blocker (propanolol or esmolol) then thionamide (methimazole) followed by iodide solution (SSKI or Lugols) 1 hour later.
  •  Myxedema coma patients need hormone replacement ASAP (ie: T4 +/- T3)
  •  All thyroid disorder patients in crisis should get stress dose steroids
Comments (40) Trackbacks (0)
  1. Hello, its nice paragraph regarding media print, we all be
    aware of media is a wonderful source of data.

  2. Excellent article. Keep writing such kind of info on your site.

    Im really impressed by your site.
    Hello there, You’ve performed a fantastic job. I will certainly digg it and individually suggest to my friends. I’m sure they will
    be benefited from this site.

  3. You made some decent points there. I looked on the web for more information about the
    issue and found most people will go along with your views on
    this website.

  4. Is Proactol Plus a perfect alternative for any healthy eating routine
    exercise. If you have been looking at the possibilities of using a diet pill to help you burn fat for any length of time then you will surely have come across Proactol Plus.
    The very first factor you must do is given up eating at junk food restaurants.

  5. First of all, it’s recognized the power of your stomach muscle groups specifically corresponds to the strength with the
    muscles inside your lower spine. It is important that you exhale, not inhale which others get often confused
    about. Upon ending your workout, Sports Tracker will display a summary of
    the stats behind your workout, prompting you to sign in to your
    Sports Tracker account and upload your workout details.

  6. My partner and I stumbled over here different page and thought I might check things out.
    I like what I see so now i am following you. Look forward to going
    over your web page repeatedly.

  7. If some one desires expert view about blogging and site-building after
    that i recommend him/her to visit this weblog, Keep up the nice work.

  8. Target Characteristics: These are characteristics that talk about the
    one who receives and procedures a message. Regardless of be it workplace politics
    deciding who gets that increase you’ve been seeking metropolis politics determining in which you
    are allowed to park downtown county politics dictating your
    quarterly property tax or even nationwide politics determining how
    your colleges are funded, politics plays an important part inside your everyday life.
    ISRO has in the past built many field installations and works
    together with the international space research
    community on many important bilateral and multilateral research agreements.

  9. That’s because you’ll need to play it over and over again in order to truly learn it.
    A great speed reading skill undoubtedly will make a student successful.

    This is why true believer fanatics, imbued with certainty and purity of belief, are always in
    constant violation of nature.

  10. The feet lie farthest from the heart, making them the
    parts of the body where blood circulation tends to stagnate.

    Canadian reflexology practice is based on his observations
    of Native Indians whom he noticed using these techniques in healing.
    Massage the sole of the foot with the support of your
    palm, fingers, and the knuckles.

  11. Hello there, You have done an excellent job. I’ll certainly digg
    it and personally suggest to my friends. I’m confident they will be benefited from this web site.

  12. Heya outstanding website! Does running a blog such as this require a large amount of work?
    I have very little expertise in computer programming however I had been hoping to start my own blog soon.
    Anyhow, should you have any suggestions or techniques for
    new blog owners please share. I know this is off subject but I simply needed to ask.

  13. I visited several websites however the audio feature for audio songs current at this web
    site is genuinely marvelous.

  14. I every time emailed this website post page to all my friends, because if like to read it after that my friends will too.

  15. Other courses claim that subvocalization can be used
    on keywords in order to speed up learning and reading. Page
    Defrag (download link) defrags pagefile while your system boots thereby keeping all of the pagefile contiguous.
    From there they will show you how to read in groups, rather than single

  16. The Venus Factor fails to call for heavy product lifting or
    accomplishing Cardio exercise for countless hours.
    Also, there is no constraint on the diet that you simply
    feed on. You can feed on all the meals the you care for without feeling
    responsible about it yet still shed weight in the act.

  17. Right here is the perfect website for anyone who wants to
    understand this topic. You realize a whole lot its almost
    hard to argue with you (not that I actually will need to…HaHa).
    You definitely put a fresh spin on a topic
    that has been discussed for ages. Wonderful stuff, just wonderful!

  18. I am really impressed wwith your writing skills as well ass with the layout on your blog.

    Is this a paid theme or did you modify it yourself?
    Either way keep up the nice quality writing, it is raare to see a nice blog like this one these days.

  19. Somebody necessarily help to make seriously posts I’d state.

    This is the first time I frequented your website page and
    thus far? I amazed with the analysis you made to create this actual publish extraordinary.
    Fantastic process!

  20. I think the admin of this site is actually working hard in support of his site,
    since here every stuff is quality based stuff.

  21. I always spent my half an hour to read this webpage’s content everyday along with a
    mug of coffee.

  22. Gardening is not just physically and aesthetically rewarding.
    Bell peppers are easy to grow because they don’t have to be shielded from direct sunlight and
    they can grow both in the ground and in container gardening receptacles.
    There are lots of available garden decorations that we can use to beautify our garden.

  23. Hi, all the time i used to check web site posts here in the early hours in the
    morning, because i like to find out more and more.

  24. 5 is thought of him. Develop new and existing buildings with multiple contractors, roofing and the project
    for you and for making school bus an election to be a problem.
    I explored the severe consequences meted out on valuable topics pertaining to
    house painting contrators may have occurred to Sunday
    school bus Solutions, Inc. Allergic people often confuse contractor mortgages are a few potential home
    improvement contractors. It can’t be extended to subcontractors
    are common, good references and ask yourself is sometimes known as ever changing industry.

  25. Creative Home Improvement is a good remodeling consumers contractors for various
    Domains. You can conduct such sessions with multiple schedule holders?
    The earlier explosion at the time to check how long the installation will take the
    time period.

  26. The vast majority of websites. These should portray professionalism and web design high tech functioning.
    Consider points such as lawyers to sports companies to make some part of web design as part of it.
    A practical approach as if they are no more than a fantastic and I will be reasonable and also
    e-commerce websites. Website planning generally takes a lot of website-building tools
    on web design firms may not notice the reusability of a custom website is
    the mirror of your businesses.

  27. It’s nearly impossible to find educated people on this subject, however, you seem like you
    know what you’re talking about! Thanks

  28. Every weekend i used to pay a visit this web site,
    for the reason that i want enjoyment, for thee reason that
    this this web site conations actually nice funny material too.

  29. Great goods from you, man. I have keep in mind your
    stuff prior to and you’re just extremely excellent.

    I really like what you have bought here, really like what you’re saying and the
    way in which you are saying it. You are making it enjoyable and you continue to care
    for to stay it smart. I cant wait to learn far more
    from you. That is really a terrific website.

  30. Well let me just put you at ease here, the reason why companies
    offer a “no win, no fee” policy is because the lawyers will bill the INSURANCE of the person they are claiming against, therefore covering ALL the cost.
    She loved us, always put us first, and was there for us no matter what.

    An analysis may show the result in terms of both dollar and
    percentage changes.

    • Well you put it all in perspective! and BTW I might chsooe to leave out the Mechanic section as well!! LOLNo Sponsorships No Endorsement contracts No Problem Make Money In the Music Industry

  31. %first_paragraphAn optometrist is an eye specialist who provides primary eye care services of the following nature:
    * They examine the eye for retinal diseases and other diseases like glaucoma and cataracts. In certain parts of the world, optometrists even treat these diseases
    * They diagnose certain body conditions that ultimately affect the eye including hypertension or diabetes

    No matter how personally-charming the optometrist can be, but, if he or she does not possess the right tools and equipment, there is no guarantee that the diagnosis of your condition was correctly made. Ask your friends whom they can recommend and their reasons why. The best optometrist is also someone who is equipped with the latest technology. You may also do this and ask recommendations from other people using the Internet. To find someone like this, you will have to rely on personal experiences and encounters of others.

    No one ever thinks of the possibility of becoming blind. Your eyes are after all your window to the world and if for some reason you lose your sight, then that window will be closed forever. Hence, choosing a good optometrist is very important. Selecting the right optometrist in Miami will make all the difference between poor vision and healthy vision. So if you have been scouring the Net for

  32. %first_paragraphThe best news concerning this is there are three of these visions centers set up for your convenience, the Optometrist St Arnaud offices, the Optometrist Stawell offices, and the Optometrist Ararat offices. So naturally when someone in this country thinks of eye examinations and buying glasses they think of this vision care center first. The three locations have slightly different hours of operation but they all have the same quality and service you have come to expect in the last sixty years. For the last three generations the Blizzard Optometrist offices have been providing great customer service and quality eyewear to the people of Australia.

    Topical solutions in the form of drops are the usual treatments but the optometrist is limited to the condition of the eye only and may recommend his or her patient to another professional such as an ophthalmologist, an EENT or a neurologist as well as any other medical doctor that he or she sees fit to diagnose the condition better or more accurately. During times when the practitioner notices a disease in an eye or in both eyes, he may prescribe treatment for it if he is familiar with it. It is not unusual for this professional to consult with others in the medical field in order to accurately assess and diagnose the patient’s condition.

    Today, it is not at all difficult to find a good optometrist in Miami. Some eye doctors in Miami have a family practice so you can take your kids there too. You can begin by looking through the phone book and check the names of various eye doctors in Miami. They will have an eye exam for all ages so if your kids have vision problems or eye complications then you should get an eye checkup for them. If the eye doctor is open to receiving new patients then you should easily be able to get an appointment for an eye exam. Or if you are Internet savvy, there is no better way than an Internet search. If you have relatives and friends who wear eye glasses, perhaps you could speak to them and find out which optometrist in Miami they visit.

    If you or a family member is in need of the services of an optometrist to address your eye care need, you can receive personalized, optimum care through an independent optometrist’s network. Whether your need is an annual eye exam, need medical attention for your acute vision problem, or just want to change eyeglass styles, this network system makes it simple to find what you need. Using this type of network will allow you to find a doctor that is right for you.

    When you are so concerned with your health why then are you neglecting your eyesight? They say your health is your wealth because without the fist then you cannot achieve what you want in life.

  33. Nevertheless, this unfortunate accident sparked another controversial idea from the LAPD-
    making airguns, Airsoft guns, BB devices and other toy guns
    conform to a new regulation. Never ever employ a slide, pin or another pointed article to hold the hair fixed
    in position as this might end up in a rupture of the swim cap.
    I’ve even reported this to the Committee on Oversight and Government Reform, “the main investigative committee in the U. I don’t see them ATF the media to get out the word and gin up the fanfare. There are storylines used to keep the game going, and videos are placed throughout the field that can be watched in game which will help give more information to the players as to what is going on and how such a thing may have occured.

  34. At first, the main users of online shopping were young men with
    a high level of income and a university education.
    You will see the projected total of your order which might change slightly depending on the weight of produce
    or other items and of course taxes. Such vibrations have
    been known to cause not only discomfort but additionally
    serious damage in some instances.

  35. I’ve been exploring for a little bit for any
    high quality articles or weblog posts in this kind of space .
    Exploring in Yahoo I eventually stumbled
    upon this web site. Reading this info So i
    am glad to show that I’ve a very excellent uncanny feeling I discovered just
    what I needed. I most indisputably will make certain to do not omit this web site and give it a glance regularly.

  36. Simply want to say your article is as surprising. The clearness to your
    submit is simply great and that i could suppose you’re knowledgeable on this subject.
    Well with your permission let me to snatch your RSS feed to stay
    updated with impending post. Thanks a million and please carry
    on the enjoyable work.

  37. An estate sale will not let you do this, and if the machine is under $one hundred almost certainly a Craigslist seller won’t either.

  38. Awesome! Its actually remarkable article, I have got much clear idea on the topic of from this post.

  39. If you are interested in topic: earn online india austrela – you should read about Bucksflooder first

Trackbacks are disabled.