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CPE-001 · Safety patterns
PR-HT-07: Severe Decompensated Hypothyroidism / Myxedema Coma Risk Alert
Severe Decompensated Hypothyroidism / Myxedema Coma Risk Alert. Urgent safety alert. Requires overt primary hypothyroidism pattern or known severe hypothyroidism.
Required to fire
- Overt primary hypothyroidism pattern or known severe hypothyroidism
Red flags (any)
- Altered mental status
- Hypothermia
- Hypoventilation
- Hemodynamic instability
- Marked bradycardia
- Severe hyponatremia
- Hypoglycemia
- Precipitating infection or sedative exposure
What it reports
- Safety alert: possible severe decompensated hypothyroidism needs urgent clinical assessment
Recommended next steps (for physician review)
- Urgent physician assessment or emergency escalation based on clinical severity; do not manage through routine outpatient rule pathway.
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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