#MedicalCase

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?

 


    Discussions


    Dr. Ramchandra Lamba
    Sexologist

    Possibility of hyperthyroidism is there.

    ▲ 1
    18.Nov, 09:51pm

    Dr. Ramchandra Lamba
    Sexologist

    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
    Sexologist

    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



Are you a doctor?

Please Login to comment or ask a question.

New to icliniq? Sign Up Now

 

 

 


Disclaimer: All medical case discussions published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.