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Symptoms of Heart Valve Disease

Mohamed Turki on Instagram: "A 40-year-old man arrives at the emergency department, poorly monitored hyperthyroidism, in full abdominal distress. Severe pain, board-like abdomen, diffuse guarding, moderate fever, vomiting since the previous day. He is agitated, sweaty, tachycardic at 132/min, with a fine tremor, palpable goiter, and a slight thyroid bruit. X-ray: probable pneumoperitoneum. Labs: undetectable TSH, very high FT4, elevated CRP and leukocytes. No shock yet, but a clear hyperadrenerg