49-year-old woman with palpitations, diaphoresis, tremor, anxiety, hyperactivity. Initially symptomatic, if untreated, progresses to moderate congestive heart failure. Pulmonary Edema progresses to hypoxemia and atrial fibrillation if untreated.

Learning Goals & Objectives

Educational Goal: Recognition of signs and symptoms of thyrotoxicosis/ CHF

CRM Objectives: Situational awareness, Shared Mental Model, Call for Help/Consult early. Avoiding fixation error and maintaining a broad differential diagnosis

Medical Objectives: Treatment of thyrotoxicosis and CHF. Management of atrial fibrillation in thyrotoxicosis