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Case (59)

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A little more explanation to understand fully why the other options were not the right answer.
This patient is only mildly acidotic in the presence of hyperglycaemia. This would go against a diagnosis of diabetic ketoacidosis. Hypertension with hypokalaemia, in contrast to hypotension and hyperkalaemia, goes against significant adrenocortical insufficiency. Her calcium is not high enough to cause a hypercalcaemic crisis. Her past history of autoimmune disease makes it more likely that she has a further autoimmune disorder, rather than phaeochromocyotoma.  the thyroid storm is possibly  precipitated by a chest infection treated with antibiotics. Propranolol, intravenous fluids, steroids and cooling are also often required. Treatment of the precipitating cause is also essential.


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