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HardEndocrinologyThyroid stormuk-plab-1

A 35-year-old woman with known Graves disease presents agitated, pyrexial at 39.5 degrees Celsius, tachycardic at 150 bpm and with diarrhoea. She has a tender goitre and atrial fibrillation. Thyroid function tests show suppressed TSH and markedly elevated free T4. What is the most appropriate immediate pharmacological treatment combination?

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