a) List important clinical features of thyroid storm. (30% marks)
b) Outline the principles of management of myxoedema coma. (70% marks)
Clinical features of thyroid storm:
Management of myxoedema coma
The model answer offered for this section is somewhat surprising, as some of its components - on first assessment - could not possibly score any marks in a question which asks for the principles of management of myxoedema coma. Statements such as "mechanical ventilation to normal gas exchange" and "consider IV antibiotic if clinical evidence of infection after collecting appropriate cultures" not only violate the rules of grammar but do nothing to support one's impression that the writer was an expert on extreme hypothyroidism. But, as these generic supportive strategies are offered by the college in their model answer template, one must assume that they expected them to also appear in the candidate's written responses, and so they are offered as a post-script in the management strategy here.
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