症例 challenge · Endocrinology / Emergency / Critical care · teaching

Myxedema Coma — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ATA / Endotext

Case #1Endocrinology / Emergency / Critical care

📋 Case data

Decompensated severe hypothyroidism?Meets it (myxedema coma)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Decompensated severe hypothyroidism?

Decompensated severe hypothyroidism (altered consciousness + hypothermia + trigger)?

💡 Decompensated severe hypothyroidism. Triad: altered consciousness + hypothermia + trigger (infection, cold, MI, sedatives, missed levothyroxine, surgery); with bradycardia, hypotension, hyponatremia, hypoglycemia, hypoventilation. >95% primary (raised TSH, low FT4). Treat empirically, do not wait for all labs.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.