41 year old lady with a recent diagnosis hyperthyroidism presents with fever (39 C), pharyngitis, maculopapular rash on her trunk. She discontinued methimazole 3 weeks ago. Her CT abdomen is negative for obstruction of the common bile duct or evidence of cholecystitis. What is the best management of this patient?
Labs
WBC 0.8 K/microL
Total Bilirubin 13.3 mg/dL
Direct Bilirubin 9.5 mg/dL
ALT 187 Units/L
AST 83 Units/L
Alk Phos 407 Units/L
TSH < 0.02
Free T4 3.7
Hep A IgM negative / Hep B sAg negative / Hep B cAb IgM negative / Hep C Ab negative
A 65y lady is s/p anterior cervical diskectomy & fusion with an AM blood glucose of 230. She has been NPO for more than 12 hours. She has not received dextrose solution.
Her medications include:
hydrochlorthiazide
beclomethasone
cefazolin
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