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Chapter 72 - Hypothyroidism

from Section 8 - Endocrine

Published online by Cambridge University Press:  03 August 2023

By
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A patient is scheduled for an emergency drainage of an abscess. Hypothyroidism was diagnosed 12 hours ago during her emergency room admission. Her total thyroxine (T4) is less than 2 μg/dL (normal values are 4.5–10 μg/dL) and her thyroid-stimulating hormone (TSH) level is elevated. What are your anesthetic concerns? What anesthetic would you choose? What specific post-operative complications would you expect?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 300 - 302
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1331–2.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, pp. 760–1.Google Scholar
Fleisher, LA. Anesthesia and Uncommon Diseases, 5th ed. Philadelphia: Saunders Elsevier, 2006, pp. 440–3.Google Scholar
Seeley, RR, Stephens, TD, Tate, P. Anatomy and Physiology, 8th ed. New York: McGraw-Hill, 2008, p. 621.Google Scholar

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