FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4387358220> ?p ?o ?g. }

• W4387358220 abstract "Abstract Disclosure: M. Ahmad: None. B. Arshad: None. U. Tarabichi: None. A.P. Calimag: None. Introduction: Hypothyroidism if left untreated can have devastating consequences both short and long term. We present you a case in which patient developed large pericardial effusion within a few months of stopping levothyroxine. Pericardial effusion is a relatively infrequent finding in hypothyroidism. This case is unique as large pericardial effusion is typically associated with severe thyroid hormone insufficiency such as myxedema, which wasn’t the case in our patient. Case: Patient is a 46-year-old female with PMHx of papillary thyroid cancer, s/p total thyroidectomy 2008, , HTN, obesity, Vit D Deficiency, iron deficiency anemia, sickle cell trait who presented to the ED with complaints of shortness of breath. Her symptoms started about a week ago and were associated with progressive dyspnea on exertion and fatigue. Patient mentioned that she stopped taking her levothyroxine 188 mcg daily and tried to treat herself with supplements. Workup was relevant for TSH 94.7 (0.350-5.0 mcU/ml), WBC 5.2 (4.2-11.0 k/mcl), Hgb 9.2 (12.0-15.5 g/dl),​ Na 141 (135-145 mmol/L), Cr 1.71 (0.51-0.95 mg/dl), ​negative Troponins,​ NT pro BNP 2590 (less then125 pg/ml)​ D Dimer 1.06. Vitals on presentation to the ED were Bp 194/135, HR 97, RR 18, T 98.4, Spo2 99% on room air.​ Chest x ray revealed new cardiomegaly, mild right sided pleural effusion. CTA chest was negative for pulmonary embolism but showed massive pericardial effusion. This was followed with transthoracic echo which demonstrated the pericardial effusion on the posterior surface of heart without tamponade. Cardiothoracic surgery was consulted but it was decided to treat the patient with IV levothyroxine rather than pericardial drainage as there was no hemodynamic compromise. Patient received 2 doses of IV levothyroxine and followed by PO levothyroxine per home dose. Shortness of breath improved by day 4 and patient was discharge in stable condition. Discussion: Complications related to hypothyroidism are preventable. There is a lot of misleading information about alternative medicine, which in turn can lead to life-threatening complications. Fortunately, pericardial effusion associated with severe hypothyroidism can rarely lead to cardiac tamponade and cardiovascular compromise. More emphasis and counselling about the importance of compliance with levothyroxine can prove vital to prevent thyroid hormone deficiency related complications. Presentation Date: Saturday, June 17, 2023" @default.
• W4387358220 created "2023-10-06" @default.
• W4387358220 creator A5015519041 @default.
• W4387358220 creator A5026196974 @default.
• W4387358220 creator A5031936071 @default.
• W4387358220 creator A5049932902 @default.
• W4387358220 date "2023-10-01" @default.
• W4387358220 modified "2023-10-16" @default.
• W4387358220 title "SAT506 A Unique Case of Large Pericardial Effusion In Hypothyroidism" @default.
• W4387358220 doi "https://doi.org/10.1210/jendso/bvad114.1978" @default.
• W4387358220 hasPublicationYear "2023" @default.
• W4387358220 type Work @default.
• W4387358220 citedByCount "0" @default.
• W4387358220 crossrefType "journal-article" @default.
• W4387358220 hasAuthorship W4387358220A5015519041 @default.
• W4387358220 hasAuthorship W4387358220A5026196974 @default.
• W4387358220 hasAuthorship W4387358220A5031936071 @default.
• W4387358220 hasAuthorship W4387358220A5049932902 @default.
• W4387358220 hasBestOaLocation W43873582201 @default.
• W4387358220 hasConcept C126322002 @default.
• W4387358220 hasConcept C141071460 @default.
• W4387358220 hasConcept C164705383 @default.
• W4387358220 hasConcept C2775883008 @default.
• W4387358220 hasConcept C2779634585 @default.
• W4387358220 hasConcept C2779761222 @default.
• W4387358220 hasConcept C2780101021 @default.
• W4387358220 hasConcept C2781175549 @default.
• W4387358220 hasConcept C526584372 @default.
• W4387358220 hasConcept C71924100 @default.
• W4387358220 hasConcept C90924648 @default.
• W4387358220 hasConceptScore W4387358220C126322002 @default.
• W4387358220 hasConceptScore W4387358220C141071460 @default.
• W4387358220 hasConceptScore W4387358220C164705383 @default.
• W4387358220 hasConceptScore W4387358220C2775883008 @default.
• W4387358220 hasConceptScore W4387358220C2779634585 @default.
• W4387358220 hasConceptScore W4387358220C2779761222 @default.
• W4387358220 hasConceptScore W4387358220C2780101021 @default.
• W4387358220 hasConceptScore W4387358220C2781175549 @default.
• W4387358220 hasConceptScore W4387358220C526584372 @default.
• W4387358220 hasConceptScore W4387358220C71924100 @default.
• W4387358220 hasConceptScore W4387358220C90924648 @default.
• W4387358220 hasIssue "Supplement_1" @default.
• W4387358220 hasLocation W43873582201 @default.
• W4387358220 hasOpenAccess W4387358220 @default.
• W4387358220 hasPrimaryLocation W43873582201 @default.
• W4387358220 hasRelatedWork W2005882088 @default.
• W4387358220 hasRelatedWork W2039983580 @default.
• W4387358220 hasRelatedWork W2052748677 @default.
• W4387358220 hasRelatedWork W2137349481 @default.
• W4387358220 hasRelatedWork W2400083456 @default.
• W4387358220 hasRelatedWork W2911037216 @default.
• W4387358220 hasRelatedWork W2946819540 @default.
• W4387358220 hasRelatedWork W3082068589 @default.
• W4387358220 hasRelatedWork W3168833419 @default.
• W4387358220 hasRelatedWork W2160832120 @default.
• W4387358220 hasVolume "7" @default.
• W4387358220 isParatext "false" @default.
• W4387358220 isRetracted "false" @default.
• W4387358220 workType "article" @default.