Septic Shock Requiring Mechanical in Medicine / Internal Medicine — 70yo Woman | Endocrinology | SMLE Q#19746

SMLE Question #19746

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: April 2026
A 70-year-old woman has been in the ICU for 7 days for severe community-acquired pneumonia with septic shock requiring mechanical ventilation, IV fluids, and dopamine infusion. She has no history of thyroid disease. Examination shows warm, dry skin with no goitre, thyroid tenderness, or eye signs. Thyroid function tests are as follows. What is the most likely diagnosis?

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