• -Severe hypothyroidism can suppress ACTH.  Always check cortisol and treat for adrenal insufficiency if indicated in patients with severe hypothyroidism/myxedema coma
  
  

  Posted 01/29/18 08:59:07 AM by Emily Miller

• Infection is often a trigger for myxedema coma.  Hypothermia from severe hypothyroidism can mask fever.  
  
  

  Posted 01/29/18 08:59:50 AM by Emily Miller

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