Diagnosing and Managing Myxedema

This chapter explores the complexities of diagnosing myxedema, highlighting the need for a keen awareness of clinical signs and lab results, particularly in elderly and critically ill patients. It discusses the role of thyroid function tests, medication history, and the interpretation of TSH and free T4 levels in distinguishing between types of hypothyroidism. Furthermore, it addresses the management of myxedema treatment, focusing on levothyroxine dosing, the use of T3, and essential fluid management strategies in critically ill settings.