Delaware medical journal
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Delaware medical journal · Jun 2011
Case ReportsDrug overdose with refractory bradycardia and hypotension.
In the emergency department physicians are often called upon to make decisions with limited information. Often the correct diagnosis and treatment hinge on one piece of information, which may be the key to the entire presentation. ⋯ We present a case of refractory bradycardia and hypotension in a patient who had overdosed on calcium channel blockers as well as beta blockers. Paying close attention to all the details of the case eventually uncovered the underlying severe hypothyroidism and myxedema. In the emergency department we are always called upon to make decisions with limited information. It is also paying close attention to all of the information presented that allows one to not miss any key pieces central to the final diagnosis.