Which endocrine condition would you suspect here? (Endocrinology)

Dr. Pratik Patil., MD ( INTERNAL MEDICINE)


Medical Case Details:

An 81-year-old male had experienced vomiting, dizziness, and appetite loss for two weeks. There had not been recognition of diabetes before the onset of this illness. On admission, he showed impaired consciousness (Glasgow Coma Scale score, 12) with no neurologically abnormal findings or abdominal tenderness.

However, he had a dry tongue and decreased skin turgor. His height was 158 cm, body weight 42.1 kg, and body mass index 16.7 kg/m2. His blood pressure was 138/78 mm Hg with an irregular pulse and heartbeat. His body temperature was 35.8 C. Electrocardiography revealed atrial fibrillation. He had no familial history of diabetes. There was no history of falling or bruising.

Question: Which endocrine condition would you suspect here?



    Dr. Ramchandra Lamba

    Possibility of hyperthyroidism is there.

    ▲ 1
    18.Nov, 09:51pm

    Dr. Ramchandra Lamba

    As pt is having wt loss, decrease consciousness level, irregular heartbeat, and decrease temperature possibly due to excessive sweating.

    18.Nov, 09:59pm

    Dr. Pratik Patil

    How would you treat?

    18.Nov, 10:00pm

    Dr. Ramchandra Lamba

    Check ABC, stabilise vital, start propranolol, carbimazole,propyl thiourasil, iv fluid, liquid potassium iodide...... according to pt conditions.
    Also check biochemistry.... Sugar, lft, rft, cbc, Thyroid function test...

    ▲ 2
    18.Nov, 10:06pm

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