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Answer :
The most likely diagnosis is a d. Thyroid storm
This condition matches the acute symptoms presented. Other options like anticholinergic overdose, malignant hyperthermia, or pheochromocytoma are less consistent with the patient’s presentation.
A 35-year-old female who recently underwent a laparoscopic appendectomy is presenting with distress signs such as a fever of 38.5°C, a heart rate of 110 bpm with frequent PVCs, and a blood pressure of 144/99 mmHg. Of the given options, the most likely diagnosis is a Thyroid storm (option d). This condition can present with hyperthermia, tachycardia, arrhythmias, and hypertension, which matches the patient's symptoms.
Other immediate post-operative complications like an infection or less likely anticholinergic overdose, malignant hyperthermia, or pheochromocytoma. Given the acute presentation and the symptoms, thyroid storm fits best.
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