Coma mixedematoso pdf 2016

Articulo especial coma mixedematoso resena historica. Relatively few cases are reported in the literature since the first case was apparently reported from the st. The term myxedema coma is generally seen as misleading since most patients do not initially present in a coma. Abstract myxedema coma is the most severe and deepest form of hypothyroidism. Coma mixedematoso national college enfermeria nurs3040 winter 2017 coma mixedematoso. Ipotiroidismo e coma mixedematoso in pronto soccorso. Factors associated with mortality of myxedema coma. Myxedema coma or myxedema crisis is a lifethreatening complication of hypothyroidism. Myxedema coma definition, symptoms, causes, treatment.

Hypothyroidism is a very common, yet often overlooked disease. We report a case of a 5yearold girl transferred to a tertiary care pediatric emergency department. Definizione ed epidemiologia sindrome clinica dovuta ad insufficiente produzione o secrezione di ormoni tiroidei rallentamento di tutti i processi metabolici. Childhood cases of myxedema coma are extremely rare. It is a medical emergency with a high mortality rate. If not recognised, however, in time it may develop into the most severe manifestation of hypothyroidism known as myxedema coma. Case report an atypical case of myxedema coma with. Untreated or unrecognized hypothyroidism may progress to severe decompensated hypothyroidism or myxedema coma. An atypical case of myxedema coma with concomitant nonconvulsive seizure pratikpatel, 1 mikhaelbekkerman, 1,2 cristinavarallorodriguez, 1 andrajendrarampersaud 3 department of medicine, st. Infrequently, patients will present with myxedema coma, characterized by hypothermia, hypotension, bradycardia, and altered mental status in the setting of severe hypothyroidism. Bradicardia hipoventilacin hipotermia y, ocasionalmente convulsiones. Identification requires analysis of thyroid hormones circulating in the bloodstream, and treatment is simply replacement with exogenous hormone, usually levothyroxine synthroid.

Most patients, however, are not comatose, and the entity rather represents a form of very severe, decompensated hypothyroidism. Broadway, yonkers, ny, usa lake erie college of osteopathic medicine, w grandview blvd, erie, pa, usa. Clinical data for our 5 patients and 82 cases from the medline search were pooled and factors associated with mortality were sought among age, gender, presence of cardiac or pulmonary complications, and doses of thyroid hormone by multiple. The typical characteristics of myxedema coma, including bradycardia, hypotension, and hypothermia, were absent in this case. The diagnosis of myxedema coma was made based on the patients clinical presentation and a score of 65 on the diagnostic scoring system published in 2014 by popoveniuc et al. Pdf free download flatform start research documents. The deadly manifestation of hypothyroidism is myxedema. The typical progression is lethargy evolving into stupor and, eventually. Pdf hypothyroidism is a frequently diagnosed and simply treated disease. Fortunately, it is now a rare presentation of hypothyroidism, likely due to earlier diagnosis as a result of the widespread. Myxedema coma is defined as severe hypothyroidism leading to decreased mental status, hypothermia, and other symptoms related to slowing of function in multiple organs. Some symptoms of myxedema coma include fatigue, lethargy, depression, dry skin, and weight gain. Take your hr comms to the next level with prezi video.