Endocrine Emergencies. DG van Zyl. Spectrum of Endocrine Emergencies . Myxedema coma Thyroid storm Acute adrenal insufficiency Pituitary apoplexy Pheochromocytoma crisis Acute hypercalcemia Acute hypocalcaemia. Myxedema Coma. Myxedema Coma.
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DG van Zyl
Acute life threatening exacerbation of thyrotoxicosis
Iodinated contrast mediumPrecipitating factors
release of thyroid
After the acute episode the patient must be evaluated for multiple pituitary deficiencies
S – Ca high
or other Cause
S – Ca > 3.0 is 90% of the time of malignant origin
Prolonged QT interval
ArrhythmiasClinical Picture of Acute Hypocalcaemia