Endocrine Abstracts

85 yo presenting with collapse, found to be hypothermic, bradycardic, hypotensive and hypoglycaemic, decreased GCS, on admission. TSH 135, T4 unrecordable. Prescribed IV liothyronine and hydrocortisone as per guidelines. Managed in Medical HDU. Careful management of hypothermia to avoid vasodilation and hypotension- blankets rather than active warming. Close management of blood sugars for hypoglycaemia. Pt responded well to therapy. Oral levothyroxine started once pt alert and swallowing. The trigger was thought to be non compliance with medication.