ABSTRACT

Which of the following would be the most appropriate next step in your management?

A. Intravenous thyroxine B. Intravenous propranolol C. Oral propylthiouracil D. Oral thyroxine E. Thyroidectomy

11. JAUNDICE (4) A 52-year-old man is brought into hospital by his wife with a 2-day history of confusion. On examination, he is jaundiced and has a distended abdomen with dilated veins around his umbilicus.