5 • 795 Ratings
🗓️ 31 May 2025
⏱️ 16 minutes
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| 0:00.0 | Hello, students. My name is Mike Estefan, and I thank you for joining me today on this month's deep dive episode on the EM Clerkship Podcast. |
| 0:11.4 | This episode is going to be a deep dive into decompensated hypothyroidism, also known as mixedema coma. |
| 0:19.6 | However, before we begin, just a quick word from our sponsors over at Pearson Rabbit's insurance. |
| 0:25.3 | Pearson Rabbit is my disability insurance broker. |
| 0:27.7 | I obtained own occupation disability insurance as a resident and still hold the same policy to this day. |
| 0:35.8 | If something happens to me where I am no longer able to work |
| 0:39.3 | specifically as an emergency medicine physician practicing clinical medicine in the emergency |
| 0:44.9 | department, I will qualify for disability benefits, even if I am able to work a different job. |
| 0:52.1 | That is the beauty of own occupation disability insurance. It protects |
| 0:56.4 | you from losing the ability to perform your specific job. The team at Pearson Rabbit are the experts |
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| 1:10.3 | to get you set up for success, speaking from personal experience. Don't wait until it's too late. Check out Pearson Rabbits at www.com and schedule a consultation appointment today. Don't forget to mention EM clerkship, if you do. And now, back to the episode. |
| 1:29.0 | In this episode, we are going to be discussing decompensated hypothyroidism. |
| 1:34.3 | We'll start off by defining this disease process and covering some of the common underlying causes. |
| 1:41.0 | Then we'll move on to discuss the clinical presentation, which can be quite variable, |
| 1:46.0 | and next we'll cover diagnosis, the associated differential, and then finally end by discussing |
| 1:52.2 | clinical management and treatment. Decompensated hypothyroidism. You probably remember |
| 1:58.6 | learning this as mixed edema coma back in medical school. |
| 2:02.9 | They refer to the same disease process, but I believe the term decompensated hypothyroidism |
| 2:08.4 | better encompasses what the disease process actually is rather than the term mixed edema |
| 2:14.5 | coma. |
| 2:15.3 | This is because, as we will discuss later, mixedema is a |
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