Myxoedema Coma
Also written as MC.
Myxoedema coma: IV levothyroxine (with or without liothyronine), IV hydrocortisone, warming, and supportive care.
What our notes say
- Myxoedema coma: IV levothyroxine (with or without liothyronine), IV hydrocortisone, warming, and supportive care. (Integrated case paper: Medicine, Surgery, Gynaecology and Paediatrics (160 marks)
- Topics tested: diabetes (type 1 and 2, drugs, DKA, hyperosmolar state, hypoglycaemia), adrenal disease and Addisonian crisis, thyroid disease and myxoedema coma, and parathyroid disease. (Internal Medicine 4th Year Endocrinology CAT: 30 MCQs)
- Endocrinology and metabolism — diabetes mellitus; DKA and HHS; hypoglycaemia; hypothyroidism and thyrotoxicosis; thyroid storm and myxoedema coma; adrenal insufficiency and Cushing syndrome; calcium and parathyroid disorders; pituitary disease; obesity and metabolic syndrome. (Year 4 Internal Medicine: Exam Revision Roadmap)
- *After reading this note you will be able to recognise, grade and initiate safe emergency management of thyroid storm and myxoedema coma, while knowing which local protocols (Kenya MoH & hospital formulary) must be consulted for drug choices and dosing.* (Thyroid storm and myxoedema coma)
- Myxoedema coma – the extreme end of untreated or undertreated hypothyroidism presenting with profound metabolic depression, hypothermia, and altered consciousness, often triggered by infection, drugs or systemic illness. (Thyroid storm and myxoedema coma)