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EM Clerkship

Deep Dive R31 MW

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 31 May 2025

⏱️ 16 minutes

🧾️ Download transcript

Summary

Deep Dive - Decompensated Hypothyroidism

Transcript

Click on a timestamp to play from that location

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

1:04.4

when it comes to true own occupation disability insurance, and you can absolutely rely on them

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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