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BOF: 3.109

A 36 year old female presents with a history of nausea, vomiting and abdominal pain. She had lost weight over the month prior to presentation.

On examination she looked unwell, was tachycardic and her blood pressure was 90/60 supine, 70/40 erect.

Investigations reveal:

Blood urea 9.8 mmol/L

Sodium 127 mmol/L

Potassium 5.6 mmol/L

Glucose 2.1 mmol/L

Free thyroxine 50 mmol /L (70-140 mmol/L)

TSH 8 mu/L (0.5 –5 mu/L)

In this patient which one of the following would you give as initial treatment?

a)      Intravenous antibiotics

b)      Intravenous omeprazole

c)      Intravenous hydrocortisone

d)      Intravenous thyroxine

e)      Glucagon

 

 

 

 

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