The Internet Book of Critical Care Podcast
IBCC Episode 71 - Myxedema Coma
Jan 2, 2020
This podcast covers the diagnosis and treatment of myxedema coma, the most extreme version of hypothyroidism. It discusses the challenges in diagnosing, clinical features, cardiac manifestations, and management of myxedema coma. The use of IV levothyroxine as a therapy for myxedema coma is also explored.
22:52
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Quick takeaways
- Myxedema Coma is more common in the winter and primarily affects women and elderly patients, often triggered by physiological stressors.
- Diagnostic clues for Myxedema Coma include a history of prior thyroid disease, the presence of goiter or scars, and altered mental status ranging from hypoactive delirium to coma.
Deep dives
Epidemiology and Triggers of Mixodemacoma
Mixodemacoma is more common in the winter and affects primarily women and elderly patients. It can occur in various settings, often triggered by physiological stressors such as infection, surgery, trauma, burns, stroke, myocardial infarction, GI bleed, cold intolerance, medications like sedatives, beta blockers, amiodarone, and checkpoint inhibitors.
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