Clinical Commander

GENERAL · hyperosmolar-hyperglycaemic-state· DEMO READY

Profound hyperosmolarity with dehydration — fluids are the treatment; insulin is secondary and later.

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Authored pathway active · hyperosmolar-hyperglycaemic-state.ed

Profound hyperosmolarity with dehydration — fluids are the treatment; insulin is secondary and later.

7 must-ask4 must-not-miss

Guidelines: ADA 2026 Hyperglycaemic Crises in Adults · JBDS 2022 Management of HHS in Adults

Phenotypes (3)

  • Hyperosmolar Hyperglycaemic State — Standard Presentation
  • Mixed HHS-DKA (overlapping features)
  • HHS — Elderly with Severe Dehydration and Cognitive Impairment

Pathway-scoped symptom and exam intake

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Uses LR engine endo.hhs.core.v1, then routes suggested engines into the workspace.

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19-panel workspace

hyperosmolar-hyperglycaemic-state · Emergency
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Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.

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Multi-window tools

Unified

labs + fluids + acid-base

Labs

fast lab analyzer

Fluid

resuscitation and balance

Electrolytes

Na/K/Mg/Phos/Ca

ABG/VBG

compensation and mixed disorders

Context flow
Sidecar tools stay open beside the workspace; panel tools join the main grid for the selected engine/problem.

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