A 23-year-old male presents with recurrent episodes of global headache, flushing, sweating, and palpitations. These episodes first started 1 month ago. They occur several times per day and last less than one hour. He has also noted a 10-pound weight loss since these episodes started. Exam reveals blood pressure 183/108 mm Hg, HR 1114 beats per minute, RR 18, temperature 98.4 C, saturation 98% on room air. His skin is flushed. Your cardiovascular, pulmonary, abdominal, and motor and sensory exams are otherwise normal. What is the likely diagnosis?

What do we need to consider when evaluating and treating suspected decompensated hypothyroidism?

Anyone who works in the Emergency Department has seen patients brought in by EMS or sent from the clinic with a chief complaint of “high blood sugar.” Now, we are not talking about patients with diabetic ketoacidosis, but just simple hyperglycemia. This is a common complaint with no real consensus on optimal blood glucose levels before safe discharge.

Adrenal insufficiency is a life-threatening emergency - learn to recognize it early and treat aggressively! Check out this amazing post via CORE EM!

The first post in the new EM Primer Series...What are the pearls you need to know for myxedema?

A review of the presentation, diagnosis, and management of this rare but deadly condition in the ED by Justin Arndt, MD.