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Table 2 Clinical course during hospitalization

From: Myxedema coma precipitated by diabetic ketoacidosis after total thyroidectomy: a case report

 

Glucose mg/L

AG nmol/L

Na mEq/L

K mEq/L

Cl mEq/L

Osm mosm/L

TSH uII/mL

Free T4 ng/dL

T3 ng/dL

Neurologic status

 

Admission

1020

> 44

138

5.9

84

386

34.126

< 0.01

< 0.01

GCS 10/15

Insulin pump

IVF

Liothyronine

Levothyroxine

HD #2

306

19.5

149

4.0

110

331

   

GCS 14/15

 

HD #3

278

11.45

143

3.6

108

308

41.399

0.19

< 0.01

GCS 15/15

Insulin SQ

Discharge (HD #11)

145

 

138

4.5

101

296

21.798

1.02

1.04

  
  1. AG anion gap, GCS Glasgow Coma Scale, HD hospital day, IVF intravenously administered fluid, Osm calculated serum osmolarity, SQ subcutaneous, T3 triiodothyronine, T4 thyroxine, TSH thyroid-stimulating hormone