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Thyroid Emergencies: From Myxedema Coma to Thyroid Storm | Dr. Divendu Bhushan

Thyroid emergencies are life-threatening conditions that demand rapid recognition and aggressive intervention. Whether it’s the hypermetabolic surge of a thyroid storm or the profound metabolic collapse of myxedema coma, these cases are among the most challenging in the Emergency Department.

In this comprehensive clinical lecture, Dr. Divendu Bhushan (Associate Professor & Head, Dept. of Emergency Medicine, AIIMS Patna) breaks down the complex pathophysiology of thyroid dysregulation and provides a roadmap for bedside management.

Key Topics Covered:
Anatomy & Physiology: Essential review of the HPT axis and hormone synthesis.
Systemic Effects of Hyperthyroidism: * CVS: Tachyarrhythmias, high-output heart failure, and widened pulse pressure.
Clinical Presentation: Identifying the "classic" vs. "masked" signs and symptoms.
The Spectrum of Thyroiditis: * Autoimmune: Graves’ and Hashimoto’s.
Postpartum Thyroiditis: Recognition in the peripartum period.
Subacute Thyroiditis: Viral triggers and clinical course.
End-Stage Emergencies: * Myxedema Coma: The triad of hypothermia, bradycardia, and hypoventilation.
Hypoadrenalism: Why you must consider the adrenal axis before thyroid replacement.

🎯 Ideal for: Emergency Physicians, Critical Care Fellows, AIIMS Aspirants, Internal Medicine Residents, and Senior Nursing Officers.

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