A 33-year-old woman with a history of Graves’ disease is brought to the emergency department unresponsive following a bout of confusion and agitation.

Subject
Medicine
System
Endocrine, Diabetes & Metabolism

Kathryn

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Jul 29, 2020
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A 33-year-old woman with a history of Graves’ disease is brought to the emergency department unresponsive following a bout of confusion and agitation. On physical examination her temperature is 39.2° C (102.5° F), her blood pressure is 100/70 mm Hg, and her pulse is 165/min. A systolic ejection murmur is heard at the apex, and the patient has 3+ pitting edema at the ankles. Following primary stabilization, which of the following would constitute appropriate pharmacotherapy for this patient’s underlying condition?
(A) Aspirin
(B) Dobutamine
(C) Iodine
(D) Levothyroxine
(E) Propylthiouracil
 
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