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Table 92.2

Urgent Investigation in Suspected Myxoedema Coma

  • Blood glucose
  • Creatinine and electrolytes
  • Plasma calcium and phosphate
  • Liver function tests
  • Creatine kinase
  • Full blood count
  • C-reactive protein
  • Arterial pH, gases and lactate
  • Blood and urine culture
  • Thyroid function tests (TSH, free T4, free T3)
  • Plasma cortisol
  • Plasma corticotrophin (ACTH) (taken in EDTA tube, for later analysis; transport immediately to the laboratory for freezing)
  • ECG
  • Chest X-ray
  • CT head