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Journal Feed Weekly Wrap-Up

This week's Journal Feed brings you measles, atrial fibrillation, a counterpoint on the pelvic exam in the ED, and using the YEARS algorithm in pregnant patients with suspected PE.

em@3am

EM@3AM: Myxedema Coma

A 43-year-old female presents with altered mental status.  Her husband states she has had weight gain, constipation, fatigue, and skin changes. Vital signs include BP 92/60, HR 48, T 93.2 rectal, RR 13, SpO2 96% on room air. She is alert and oriented x 1, and her neck reveals a well-healed midline anterior neck scar. Her abdomen is soft but distended, and her extremities are cool. What’s the likely diagnosis?