An increasing number of gunshot injuries in combination with delays in reaching hospital and in receiving treatment accounted for the high mortality rate in this unselected series.

An increasing number of gunshot injuries in combination with delays in reaching hospital and in receiving treatment accounted for the high mortality rate in this unselected series.

No abstract

Case presentationA 40-year-old man with a known history of Graves' disease, who stopped taking his prescribed methimazole and propranolol for four months, presented to the emergency department with tingling and numbness in both of his upper extremities, shortness of breath and palpitations that had been progressively worsening over the past few months. Review of systems revealed that he had lost over 150 pounds in four years and has swelling of his feet and ankles, bulging of his eyes and