23rd May 2025

A 67-year-old patient presented with hypotension, hypothermia, and acute confusion.

A 67-year-old patient presented with hypotension, hypothermia, and acute confusion. He is known to have chronic autoimmune thyroiditis and is on thyroxine replacement therapy. Bloods show T4 2pmol/L and TSH 8 mU/L. What is the most appropriate management for him?

Select the SINGLE most appropriate option from the list below. Select ONE option only.