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Question of the Day

Test your knowledge on our question of the day based on topics relevant to the exam.

An 80-year-old female presents to the Emergency Department acutely unwell after being found unresponsive, on the floor of her house, by her son. She had a past history of hypothyroidism and of taking thyroxine daily. However, her compliance with treatment is questionable.

On examination she was unrousable with a Glasgow Coma Scale of 6/15, had a central temperature of 34°C, oxygen saturations of 95% on air, a pulse of 44 beats per minute and a blood pressure of 100/80 mmHg. There were no specific localising signs on neurological examination, but both plantars were extensor.

Prior to results of her emergency blood tests being available, what is the most appropriate immediate treatment for this patient?

(Please select 1 option)

Intravenous 50% Glucose
Intravenous Hydrocortisone
Intravenous Normal Saline
Intravenous Thyronine (T3)
Oral thyroxine via NG tube

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