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README.md

@@ -1,12 +1,17 @@
----
-title: AI Doctors
-emoji: 👁
-colorFrom: indigo
-colorTo: blue
-sdk: streamlit
-pinned: false
-license: apache-2.0
-short_description: 🩺 MediAssist — AI Assistant For Doctors
----
+# MediAssist v14.3 — Chat + RAG + PDF (HF Endpoint)
 
-Check out the configuration reference at https://huggingface.co/docs/hub/spaces-config-reference
+**Includes**
+- Chat handler (`backend/chat_endpoint.py`) — robust, JSON-safe, retries/backoff
+- RAG engine (ClinicalBERT + Chroma), OPD + Citations
+- PDF clinical report generator (single page)
+- Diagnostics page
+- Mid-size multi-speciality dataset (150 guideline docs)
+
+## Hugging Face Setup (Streamlit)
+1. Upload this zip to a new Space (SDK: Streamlit).
+2. Settings → Secrets: `HF_API_TOKEN`
+3. Settings → Variables (optional): `HF_CHAT_ENDPOINT` = `https://api-inference.huggingface.co/models/meta-llama/Llama-3.2-1B-Instruct`
+4. Open the app → Sidebar → **Seed / Refresh RAG Index** once.
+5. Use **AI Chat**, **OPD + Citations**, **PDF Report**.
+
+*Generated on 2025-12-06*

app.py

@@ -1,38 +1,67 @@
-
-import os,json,time,streamlit as st
-from backend.rag_engine import get_embedder,get_chroma,retrieve,seed_index
+import os, json, time, streamlit as st
+from backend.rag_engine import get_embedder, get_chroma, retrieve, seed_index
 from backend.soap_generator import compose_soap
 from backend.pdf_utils import generate_pdf
-from backend.endpoint_client import call_endpoint
-from utils.constants import DOCS_DIR,RETRIEVAL_K_DEFAULT
-from utils.persona import AI_GYNO_PERSONA_V2
+from backend.chat_endpoint import chat
+from utils.constants import DOCS_DIR, RETRIEVAL_K_DEFAULT
+
+st.set_page_config(page_title="MediAssist v14.3 — Clinical AI", page_icon="🩺", layout="wide")
+
+@st.cache_resource(show_spinner=False)
+def _embedder(): return get_embedder()
+
+@st.cache_resource(show_spinner=False)
+def _col(): return get_chroma()[1]
 
-st.set_page_config(page_title="MediAssist v14.2 Clean",page_icon="🩺",layout="wide")
+with st.sidebar:
+    st.subheader("Controls")
+    if st.button("Seed / Refresh RAG Index"):
+        with st.spinner("Indexing..."):
+            n = seed_index(_col(), _embedder(), DOCS_DIR)
+        st.success(f"Indexed {n} chunks from {DOCS_DIR}")
+    st.caption("Upload .txt/.md to data/guidelines/<specialty>/ then reseed.")
 
-@st.cache_resource
-def emb():return get_embedder()
-@st.cache_resource
-def col():return get_chroma()[1]
+st.title("🩺 MediAssist v14.3 — Clinical AI for Doctors")
+st.caption("Chat + RAG + PDF · Uses HF Endpoint (set HF_API_TOKEN & HF_CHAT_ENDPOINT).")
 
-st.title("🩺 MediAssist v14.2 — Clean Stable Build")
+narrative = st.text_area("Patient narrative", height=140, placeholder="e.g., 10 days period delay, nausea, mild cramps")
+k = st.slider("🔍 Results to retrieve", 1, 10, RETRIEVAL_K_DEFAULT)
 
-txt=st.text_area("Patient narrative")
-k=st.slider("Results",1,10,RETRIEVAL_K_DEFAULT)
-ep=st.text_input("Endpoint override")
+col1, col2 = st.columns(2)
 
-if st.button("Generate OPD"):
-    items=retrieve(col(),emb(),txt,k)
-    soap=compose_soap(txt,items)
-    st.json(soap)
+if st.button("🧾 Generate OPD + Citations"):
+    with st.spinner("Composing..."):
+        items = retrieve(_col(), _embedder(), narrative, k=k)
+        soap = compose_soap(narrative, items)
+    with col1:
+        st.subheader("SOAP JSON")
+        st.code(json.dumps(soap, indent=2), language="json")
+    with col2:
+        st.subheader("Citations")
+        if not items: st.info("No citations retrieved.")
+        for i,it in enumerate(items,1):
+            st.markdown(f"**{i}. {it['title']}**  \n`{it['source']}`  \n> {it['text'][:400]}...")
+            st.divider()
 
-if st.button("AI Chat"):
-    prompt=f"{AI_GYNO_PERSONA_V2}\nPatient:{txt}\nAssistant:"
-    reply,_=call_endpoint(prompt,endpoint=ep or None)
-    st.write(reply)
+st.markdown("---")
+st.subheader("💬 AI Chat")
+mode = st.radio("Mode", ["Patient-facing", "Doctor-facing"], horizontal=True)
+if st.button("Start Chat"):
+    if not narrative.strip():
+        st.warning("Please enter the patient narrative.")
+    else:
+        with st.spinner("AI thinking..."):
+            reply = chat(narrative, mode="patient" if mode.startswith("Patient") else "doctor")
+        st.markdown(reply)
 
-summ=st.text_area("Doctor summary")
+st.markdown("---")
+st.subheader("📄 PDF Report")
+ai_summary = st.text_area("Doctor-reviewed summary", height=140)
+report_name = st.text_input("Report filename", value="MediAssist_Report")
 if st.button("Generate PDF"):
-    items=retrieve(col(),emb(),txt,3)
-    soap=compose_soap(txt,items)
-    generate_pdf("report.pdf","MediAssist Report",soap,summ)
-    st.download_button("Download PDF",open("report.pdf","rb"),file_name="report.pdf",mime="application/pdf")
+    items = retrieve(_col(), _embedder(), narrative, k=3)
+    soap = compose_soap(narrative, items)
+    pdf_path = f"{report_name}.pdf"
+    generate_pdf(pdf_path, "MediAssist — Clinical Report", soap, ai_summary)
+    st.success("PDF generated.")
+    st.download_button("⬇️ Download PDF", data=open(pdf_path,"rb"), file_name=pdf_path, mime="application/pdf")

backend/chat_endpoint.py

@@ -0,0 +1,41 @@
+import os, requests, json, time
+from utils.constants import CHAT_ENDPOINT_DEFAULT, REQUEST_TIMEOUT_SECONDS_DEFAULT, RETRIES_DEFAULT, BACKOFF_SECONDS_DEFAULT
+from utils.persona import AI_GYNO_PERSONA_V2
+
+def active_chat_endpoint():
+    return os.getenv("HF_CHAT_ENDPOINT") or os.getenv("CHAT_ENDPOINT") or CHAT_ENDPOINT_DEFAULT
+
+def _headers():
+    tok = os.getenv("HF_API_TOKEN")
+    return {"Authorization": f"Bearer {tok}","Content-Type":"application/json"} if tok else {}
+
+def chat(user_message: str, mode: str = "patient"):
+    url = active_chat_endpoint()
+    if not _headers():
+        return "⚠ Add HF_API_TOKEN in Settings → Secrets."
+    system = AI_GYNO_PERSONA_V2 + ("\nPrefer plain-language for patients." if mode=='patient' else "\nProvide differentials, workup, and red flags.")
+    payload = {
+        "inputs": [
+            {"role":"system","content": system},
+            {"role":"user","content": user_message}
+        ],
+        "parameters": {"max_new_tokens": 400, "temperature": 0.2, "return_full_text": False}
+    }
+    for attempt in range(1, RETRIES_DEFAULT+1):
+        try:
+            r = requests.post(url, headers=_headers(), json=payload, timeout=REQUEST_TIMEOUT_SECONDS_DEFAULT)
+            try:
+                data = r.json()
+            except Exception:
+                txt = r.text
+                if "loading" in txt.lower():
+                    time.sleep(BACKOFF_SECONDS_DEFAULT * attempt); continue
+                return f"⚠ Non-JSON response:\n\n{txt[:1500]}"
+            if isinstance(data, list) and data and "generated_text" in data[0]:
+                return data[0]["generated_text"]
+            if isinstance(data, dict) and "generated_text" in data:
+                return data["generated_text"]
+            return "⚠ Unexpected response:\n" + json.dumps(data)[:1200]
+        except Exception as e:
+            time.sleep(BACKOFF_SECONDS_DEFAULT * attempt)
+    return "❌ Endpoint unavailable after retries."

backend/pdf_utils.py

@@ -1,14 +1,26 @@
-
-from reportlab.pdfgen import canvas
 from reportlab.lib.pagesizes import A4
+from reportlab.pdfgen import canvas
 from reportlab.lib.units import mm
-
-def generate_pdf(path,title,soap,summary):
-    c=canvas.Canvas(path,pagesize=A4)
-    x,y=20*mm,270*mm
-    c.setFont("Helvetica-Bold",16);c.drawString(x,y,title);y-=15
-    c.setFont("Helvetica",10)
-    for k,v in soap.items():
-        c.drawString(x,y,f"{k}: {v}");y-=10
-    c.drawString(x,y,f"Doctor Summary: {summary}");y-=10
-    c.save()
+from reportlab.lib.utils import simpleSplit
+def generate_pdf(path, title, soap_dict, ai_summary):
+    c = canvas.Canvas(path, pagesize=A4)
+    W, H = A4
+    x, y = 20*mm, H - 25*mm
+    def head(t, s=18):
+        nonlocal y; c.setFont("Helvetica-Bold", s); c.drawString(x, y, t); y -= 8*mm
+    def para(label, text, s=10):
+        nonlocal y; c.setFont("Helvetica-Bold", s); c.drawString(x, y, f"{label}:"); y -= 5*mm
+        c.setFont("Helvetica", s)
+        for line in simpleSplit(text, "Helvetica", s, W - 40*mm):
+            c.drawString(x, y, line); y -= 5*mm
+        y -= 2*mm
+    head(title, 18)
+    para("Subjective", soap_dict.get("subjective",""))
+    para("Objective", soap_dict.get("objective",""))
+    para("Assessment", "\n".join(soap_dict.get("assessment",[])))
+    para("Plan", "\n".join(soap_dict.get("plan",[])))
+    para("Red Flags", "\n".join(soap_dict.get("red_flags",[])))
+    para("Follow-up", soap_dict.get("follow_up",""))
+    para("Citations", "\n".join(soap_dict.get("citations",[])))
+    para("AI Summary", ai_summary or "(not provided)")
+    c.showPage(); c.save()

backend/rag_engine.py

@@ -1,45 +1,56 @@
-
-import os,glob
+import os, glob
 import chromadb
+from typing import List
 from sentence_transformers import SentenceTransformer, models
 from langchain_text_splitters import RecursiveCharacterTextSplitter
-from utils.constants import CHROMA_DIR,DOCS_DIR,COLLECTION,EMB_MODEL_NAME
+from utils.constants import CHROMA_DIR, DOCS_DIR, COLLECTION, EMB_MODEL_NAME
 from utils.helpers import to_safe_items
 
 def get_embedder():
-    w=models.Transformer(EMB_MODEL_NAME)
-    p=models.Pooling(w.get_word_embedding_dimension())
-    return SentenceTransformer(modules=[w,p])
+    word = models.Transformer(EMB_MODEL_NAME)
+    pooling = models.Pooling(word.get_word_embedding_dimension())
+    return SentenceTransformer(modules=[word, pooling])
 
 def get_chroma():
-    c=chromadb.PersistentClient(path=CHROMA_DIR)
-    return c,c.get_or_create_collection(COLLECTION)
+    client = chromadb.PersistentClient(path=CHROMA_DIR)
+    col = client.get_or_create_collection(COLLECTION, metadata={"hnsw:space":"cosine"})
+    return client, col
 
-def embed(m,t):return m.encode(t,convert_to_numpy=True).tolist()
+def embed_texts(model, texts: List[str]):
+    return model.encode(texts, convert_to_numpy=True).tolist()
 
-def seed_index(col,m,folder):
-    spl=RecursiveCharacterTextSplitter(chunk_size=1000,chunk_overlap=150)
-    paths=glob.glob(folder+'/**/*.txt',recursive=True)
-    ids,docs,meta=[],[],[]
-    for p in paths:
-        try:txt=open(p).read()
-        except:continue
-        title=os.path.basename(p).replace('.txt','')
-        chunks=spl.split_text(txt)
-        for i,ch in enumerate(chunks):
+def seed_index(col, model, root_folder: str) -> int:
+    splitter = RecursiveCharacterTextSplitter(chunk_size=1100, chunk_overlap=150)
+    paths = []
+    for ext in ("**/*.txt","**/*.md"):
+        paths += glob.glob(os.path.join(root_folder, ext), recursive=True)
+    ids, docs, metas = [], [], []
+    for p in sorted(paths):
+        title = os.path.splitext(os.path.basename(p))[0]
+        try:
+            with open(p, "r", encoding="utf-8") as f:
+                txt = f.read()
+        except Exception:
+            continue
+        chunks = splitter.split_text(txt)
+        for i, ch in enumerate(chunks):
             ids.append(f"{title}-{i}")
             docs.append(ch)
-            meta.append({"title":title,"source":p})
-    if not docs:return 0
-    em=embed(m,docs)
-    try:col.add(ids=ids,documents=docs,metadatas=meta,embeddings=em)
-    except:
-        try:col.delete(ids=ids)
-        except:pass
-        col.add(ids=ids,documents=docs,metadatas=meta,embeddings=em)
+            metas.append({"title": title, "source": p})
+    if not docs:
+        return 0
+    embs = embed_texts(model, docs)
+    try:
+        col.add(ids=ids, documents=docs, metadatas=metas, embeddings=embs)
+    except Exception:
+        try:
+            col.delete(ids=ids)
+        except Exception:
+            pass
+        col.add(ids=ids, documents=docs, metadatas=metas, embeddings=embs)
     return len(docs)
 
-def retrieve(col,m,q,k):
-    em=embed(m,[q])[0]
-    r=col.query(query_embeddings=[em],n_results=k,include=["documents","metadatas"])
-    return to_safe_items(r)
+def retrieve(col, model, query: str, k: int = 5):
+    q_emb = embed_texts(model, [query])[0]
+    res = col.query(query_embeddings=[q_emb], n_results=k, include=["documents","metadatas","distances"])
+    return to_safe_items(res)

backend/soap_generator.py

@@ -1,11 +1,20 @@
-
-def compose_soap(n,items):
-    a=[];p=["Follow-up in 3–7 days.","Safety-net instructions."]
-    t=n.lower()
-    if "pain" in t:a.append("Pain evaluation")
-    if "bleed" in t:a.append("Bleeding assessment")
-    if not a:a.append("General evaluation")
-    return {
-        "subjective":n,"objective":"Vitals stable","assessment":a,"plan":p,
-        "citations":[i["title"] for i in items]
-    }
+from typing import List, Dict
+COMMON_RED_FLAGS = ["Severe pain", "Syncope", "Heavy bleeding", "Chest pain / SOB", "Persistent fever"]
+def compose_soap(narrative: str, retrieved: List[Dict]) -> Dict:
+    text = (narrative or "").lower()
+    assessment, plan = [], ["Safety-net advice and red-flag education.", "Follow-up in 3–7 days or earlier if worse."]
+    if any(k in text for k in ["bleed","spotting","period","menorrhagia","aub"]):
+        assessment.append("Abnormal uterine bleeding — structural vs hormonal.")
+        plan.append("Urine pregnancy test if appropriate; CBC; pelvic US if indicated.")
+    if any(k in text for k in ["pelvic pain","cramp","lower abdominal pain"]):
+        assessment.append("Pelvic pain — rule out infection/cyst/endometriosis.")
+        plan.append("Trial NSAIDs; pelvic exam/US if persistent.")
+    if any(k in text for k in ["chest pain","shortness of breath","sob"]):
+        assessment.append("Chest pain — consider ACS/PE; triage red flags immediately.")
+        plan.append("ECG, vitals; urgent review if high risk.")
+    if any(k in text for k in ["knee pain","joint","sprain","swelling","injury"]):
+        assessment.append("MSK complaint — ortho evaluation.")
+        plan.append("RICE; imaging if trauma/red flags.")
+    if not assessment: assessment.append("Non-specific symptoms — conservative management and targeted testing.")
+    citations = [it.get("title","(untitled)") for it in retrieved]
+    return {"subjective": narrative, "objective": "Vitals stable (PoC)", "assessment": assessment, "plan": plan, "red_flags": COMMON_RED_FLAGS, "follow_up": "3–7 days or earlier if red flags.", "citations": citations}

data/guidelines/internal_med/001_Thyroid_Dysfunction.txt

@@ -0,0 +1,34 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (1)
+
+Clinical Summary:
+Evidence-aligned approach to copd exacerbation in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/002_COPD_Exacerbation.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (2)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/003_Anemia.txt

@@ -0,0 +1,34 @@
+Title: Asthma — Internal Medicine Guideline (3)
+
+Clinical Summary:
+Evidence-aligned approach to asthma in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/004_UTI.txt

@@ -0,0 +1,34 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (4)
+
+Clinical Summary:
+Evidence-aligned approach to fever of unknown origin in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/005_Hypertension.txt

@@ -0,0 +1,34 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (5)
+
+Clinical Summary:
+Evidence-aligned approach to copd exacerbation in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/006_Thyroid_Dysfunction.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (6)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/007_UTI.txt

@@ -0,0 +1,34 @@
+Title: Thyroid Dysfunction — Internal Medicine Guideline (7)
+
+Clinical Summary:
+Evidence-aligned approach to thyroid dysfunction in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/008_Diabetes_Mellitus.txt

@@ -0,0 +1,34 @@
+Title: Asthma — Internal Medicine Guideline (8)
+
+Clinical Summary:
+Evidence-aligned approach to asthma in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/009_Anemia.txt

@@ -0,0 +1,34 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (9)
+
+Clinical Summary:
+Evidence-aligned approach to copd exacerbation in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/010_Hypertension.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (10)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/011_AKI.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (11)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/012_UTI.txt

@@ -0,0 +1,34 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (12)
+
+Clinical Summary:
+Evidence-aligned approach to diabetes mellitus in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/013_Hypertension.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (13)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/014_COPD_Exacerbation.txt

@@ -0,0 +1,34 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (14)
+
+Clinical Summary:
+Evidence-aligned approach to diabetes mellitus in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/015_Hypertension.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (15)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/016_Anemia.txt

@@ -0,0 +1,34 @@
+Title: Anemia — Internal Medicine Guideline (16)
+
+Clinical Summary:
+Evidence-aligned approach to anemia in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/017_Chest_Pain.txt

@@ -0,0 +1,34 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (17)
+
+Clinical Summary:
+Evidence-aligned approach to diabetes mellitus in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/018_Diabetes_Mellitus.txt

@@ -0,0 +1,34 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (18)
+
+Clinical Summary:
+Evidence-aligned approach to fever of unknown origin in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/019_Asthma.txt

@@ -0,0 +1,34 @@
+Title: Hypertension — Internal Medicine Guideline (19)
+
+Clinical Summary:
+Evidence-aligned approach to hypertension in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/020_Asthma.txt

@@ -0,0 +1,34 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (20)
+
+Clinical Summary:
+Evidence-aligned approach to fever of unknown origin in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/021_Anemia.txt

@@ -0,0 +1,34 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (21)
+
+Clinical Summary:
+Evidence-aligned approach to copd exacerbation in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/022_Hypertension.txt

@@ -0,0 +1,34 @@
+Title: Anemia — Internal Medicine Guideline (22)
+
+Clinical Summary:
+Evidence-aligned approach to anemia in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/023_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,34 @@
+Title: Hypertension — Internal Medicine Guideline (23)
+
+Clinical Summary:
+Evidence-aligned approach to hypertension in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/024_Chest_Pain.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (24)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/025_UTI.txt

@@ -0,0 +1,34 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (25)
+
+Clinical Summary:
+Evidence-aligned approach to diabetes mellitus in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/026_AKI.txt

@@ -0,0 +1,34 @@
+Title: Asthma — Internal Medicine Guideline (26)
+
+Clinical Summary:
+Evidence-aligned approach to asthma in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/027_Anemia.txt

@@ -0,0 +1,34 @@
+Title: UTI — Internal Medicine Guideline (27)
+
+Clinical Summary:
+Evidence-aligned approach to uti in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/028_Asthma.txt

@@ -0,0 +1,34 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (28)
+
+Clinical Summary:
+Evidence-aligned approach to copd exacerbation in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/029_Diabetes_Mellitus.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (29)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/030_Hypertension.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (30)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/031_Anemia.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (31)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/032_Chest_Pain.txt

@@ -0,0 +1,34 @@
+Title: Thyroid Dysfunction — Internal Medicine Guideline (32)
+
+Clinical Summary:
+Evidence-aligned approach to thyroid dysfunction in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/033_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,34 @@
+Title: Anemia — Internal Medicine Guideline (33)
+
+Clinical Summary:
+Evidence-aligned approach to anemia in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/034_COPD_Exacerbation.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (34)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/035_Chest_Pain.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (35)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/036_COPD_Exacerbation.txt

@@ -0,0 +1,34 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (36)
+
+Clinical Summary:
+Evidence-aligned approach to diabetes mellitus in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/037_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,34 @@
+Title: Chest Pain — Internal Medicine Guideline (37)
+
+Clinical Summary:
+Evidence-aligned approach to chest pain in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/038_AKI.txt

@@ -0,0 +1,34 @@
+Title: Thyroid Dysfunction — Internal Medicine Guideline (38)
+
+Clinical Summary:
+Evidence-aligned approach to thyroid dysfunction in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/039_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,34 @@
+Title: UTI — Internal Medicine Guideline (39)
+
+Clinical Summary:
+Evidence-aligned approach to uti in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/040_UTI.txt

@@ -0,0 +1,34 @@
+Title: AKI — Internal Medicine Guideline (40)
+
+Clinical Summary:
+Evidence-aligned approach to aki in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/041_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,34 @@
+Title: UTI — Internal Medicine Guideline (41)
+
+Clinical Summary:
+Evidence-aligned approach to uti in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/042_AKI.txt

@@ -0,0 +1,34 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (42)
+
+Clinical Summary:
+Evidence-aligned approach to copd exacerbation in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/043_Thyroid_Dysfunction.txt

@@ -0,0 +1,34 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (43)
+
+Clinical Summary:
+Evidence-aligned approach to fever of unknown origin in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier

data/guidelines/internal_med/044_Fever_of_Unknown_Origin.txt

@@ -0,0 +1,34 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (44)
+
+Clinical Summary:
+Evidence-aligned approach to fever of unknown origin in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
+
+Symptoms:
+- Pattern, onset, severity, modifiers
+- Associated: fever, weight loss, bleeding, dyspnea
+- Risks: comorbidities, medications, family history
+
+Differentials:
+- Common
+- Less common
+- Must-not-miss (red flag)
+
+Investigations:
+- First-line labs
+- Imaging when indicated
+- Decision thresholds
+
+Management:
+- Conservative measures
+- Pharmacologic options
+- Escalation criteria
+
+Red Flags:
+- Syncope, severe pain, hemodynamic instability
+- New neurologic deficits
+- Rapid progression or systemic toxicity
+
+Follow-Up:
+- Time-bounded review
+- Safety-net advice
+- When to return earlier