Today we discussed the case of a young woman with history of hypothyroidism who was unhoused and not taking medications for 2 months, presenting with subacute onset fatigue, with periorbital and bilateral lower extremity edema and lower extremity hyperpigmentation, found to have profound hypothyroidism vs mild myxedema coma.

We also discussed a MKSAP question on management of intracranial hemorrhage, as review of American Heart Association’s guidelines for management of hypertensive emergency.