diff --git a/README.md b/README.md index 54725ea3bc9e9f13999d490c5e6949b471eb3fe8..7cb7982355aa2ce9df0d4af0912a6e4dfc1ea80d 100644 --- a/README.md +++ b/README.md @@ -1,12 +1,17 @@ ---- -title: AI Doctors -emoji: ๐Ÿ‘ -colorFrom: indigo -colorTo: blue -sdk: streamlit -pinned: false -license: apache-2.0 -short_description: ๐Ÿฉบ MediAssist โ€” AI Assistant For Doctors ---- +# MediAssist v14.3 โ€” Chat + RAG + PDF (HF Endpoint) -Check out the configuration reference at https://huggingface.co/docs/hub/spaces-config-reference \ No newline at end of file +**Includes** +- Chat handler (`backend/chat_endpoint.py`) โ€” 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 โ†’ Secrets: `HF_API_TOKEN` +3. Settings โ†’ Variables (optional): `HF_CHAT_ENDPOINT` = `https://api-inference.huggingface.co/models/meta-llama/Llama-3.2-1B-Instruct` +4. Open the app โ†’ Sidebar โ†’ **Seed / Refresh RAG Index** once. +5. Use **AI Chat**, **OPD + Citations**, **PDF Report**. + +*Generated on 2025-12-06* diff --git a/app.py b/app.py index ec7fa3e20826b3b5b48d0e30243dd5e50ec0b4f8..897d4f7f82d9a615c62566e08fb1735593aa0a1e 100644 --- a/app.py +++ b/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 โ€” Clinical AI", page_icon="๐Ÿฉบ", 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="๐Ÿฉบ",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// then reseed.") -@st.cache_resource -def emb():return get_embedder() -@st.cache_resource -def col():return get_chroma()[1] +st.title("๐Ÿฉบ MediAssist v14.3 โ€” Clinical AI for Doctors") +st.caption("Chat + RAG + PDF ยท Uses HF Endpoint (set HF_API_TOKEN & HF_CHAT_ENDPOINT).") -st.title("๐Ÿฉบ MediAssist v14.2 โ€” Clean Stable Build") +narrative = st.text_area("Patient narrative", height=140, placeholder="e.g., 10 days period delay, nausea, mild cramps") +k = st.slider("๐Ÿ” 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("๐Ÿงพ 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("๐Ÿ’ฌ 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("๐Ÿ“„ 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 โ€” Clinical Report", soap, ai_summary) + st.success("PDF generated.") + st.download_button("โฌ‡๏ธ Download PDF", data=open(pdf_path,"rb"), file_name=pdf_path, mime="application/pdf") diff --git a/backend/chat_endpoint.py b/backend/chat_endpoint.py new file mode 100644 index 0000000000000000000000000000000000000000..23b3984f047d3b4b7d5a6b6a30f96ed422799d12 --- /dev/null +++ b/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 "โš  Add HF_API_TOKEN in Settings โ†’ 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"โš  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 "โš  Unexpected response:\n" + json.dumps(data)[:1200] + except Exception as e: + time.sleep(BACKOFF_SECONDS_DEFAULT * attempt) + return "โŒ Endpoint unavailable after retries." diff --git a/backend/pdf_utils.py b/backend/pdf_utils.py index 058a9a883d7b149771b71aa2f1a241df2d314afe..30838063961f5cea6624f5868aeeca93d8ae2304 100644 --- a/backend/pdf_utils.py +++ b/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() diff --git a/backend/rag_engine.py b/backend/rag_engine.py index f876cc5db2a12affd8e14a163c9f3e8603b098a8..dcfcd9ec5700cec8ea2849820e1bfbc689bf8ed3 100644 --- a/backend/rag_engine.py +++ b/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) diff --git a/backend/soap_generator.py b/backend/soap_generator.py index 43fac8c68cf15724e9a524dff6e6db7d88284941..4c7aa31959e4b0335cb3cec8208388601e61d497 100644 --- a/backend/soap_generator.py +++ b/backend/soap_generator.py @@ -1,11 +1,20 @@ - -def compose_soap(n,items): - a=[];p=["Follow-up in 3โ€“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 3โ€“7 days or earlier if worse."] + if any(k in text for k in ["bleed","spotting","period","menorrhagia","aub"]): + assessment.append("Abnormal uterine bleeding โ€” 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 โ€” 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 โ€” 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 โ€” ortho evaluation.") + plan.append("RICE; imaging if trauma/red flags.") + if not assessment: assessment.append("Non-specific symptoms โ€” 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": "3โ€“7 days or earlier if red flags.", "citations": citations} diff --git a/data/guidelines/internal_med/001_Thyroid_Dysfunction.txt b/data/guidelines/internal_med/001_Thyroid_Dysfunction.txt new file mode 100644 index 0000000000000000000000000000000000000000..d7ab1facea90b26c76f23efe66c51dc894008a99 --- /dev/null +++ b/data/guidelines/internal_med/001_Thyroid_Dysfunction.txt @@ -0,0 +1,34 @@ +Title: COPD Exacerbation โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/002_COPD_Exacerbation.txt b/data/guidelines/internal_med/002_COPD_Exacerbation.txt new file mode 100644 index 0000000000000000000000000000000000000000..b04f6f535495917f3cbccf323e09af73f6cded7d --- /dev/null +++ b/data/guidelines/internal_med/002_COPD_Exacerbation.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/003_Anemia.txt b/data/guidelines/internal_med/003_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..beeb7d89fc2505e3b53b80d030a8bfe627855e8d --- /dev/null +++ b/data/guidelines/internal_med/003_Anemia.txt @@ -0,0 +1,34 @@ +Title: Asthma โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/004_UTI.txt b/data/guidelines/internal_med/004_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..16ba04cd43f989508b73485a7f454ddaf8ce7686 --- /dev/null +++ b/data/guidelines/internal_med/004_UTI.txt @@ -0,0 +1,34 @@ +Title: Fever of Unknown Origin โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/005_Hypertension.txt b/data/guidelines/internal_med/005_Hypertension.txt new file mode 100644 index 0000000000000000000000000000000000000000..4a6524e40d466a3d4b8325e7ebefe9cf049f2226 --- /dev/null +++ b/data/guidelines/internal_med/005_Hypertension.txt @@ -0,0 +1,34 @@ +Title: COPD Exacerbation โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/006_Thyroid_Dysfunction.txt b/data/guidelines/internal_med/006_Thyroid_Dysfunction.txt new file mode 100644 index 0000000000000000000000000000000000000000..3dce8e14881610b21d6a566341c779b447851b4e --- /dev/null +++ b/data/guidelines/internal_med/006_Thyroid_Dysfunction.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/007_UTI.txt b/data/guidelines/internal_med/007_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..6e0e273b0b34e191e7b985abaecaca9c0db9ecd7 --- /dev/null +++ b/data/guidelines/internal_med/007_UTI.txt @@ -0,0 +1,34 @@ +Title: Thyroid Dysfunction โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/008_Diabetes_Mellitus.txt b/data/guidelines/internal_med/008_Diabetes_Mellitus.txt new file mode 100644 index 0000000000000000000000000000000000000000..8c2d8e324d627b1ef89d77c5f73d1e1ee7c9a505 --- /dev/null +++ b/data/guidelines/internal_med/008_Diabetes_Mellitus.txt @@ -0,0 +1,34 @@ +Title: Asthma โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/009_Anemia.txt b/data/guidelines/internal_med/009_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..ec5616b3a9e832ff693963b550df7dd829f62453 --- /dev/null +++ b/data/guidelines/internal_med/009_Anemia.txt @@ -0,0 +1,34 @@ +Title: COPD Exacerbation โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/010_Hypertension.txt b/data/guidelines/internal_med/010_Hypertension.txt new file mode 100644 index 0000000000000000000000000000000000000000..496caeb24bdf76c36ccf688089afd50e2c17d44a --- /dev/null +++ b/data/guidelines/internal_med/010_Hypertension.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/011_AKI.txt b/data/guidelines/internal_med/011_AKI.txt new file mode 100644 index 0000000000000000000000000000000000000000..30733d5ba122332d3a40724ed549094b72eb1664 --- /dev/null +++ b/data/guidelines/internal_med/011_AKI.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/012_UTI.txt b/data/guidelines/internal_med/012_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..462549311f0284cedfd3f4fe28127b6b12022cc7 --- /dev/null +++ b/data/guidelines/internal_med/012_UTI.txt @@ -0,0 +1,34 @@ +Title: Diabetes Mellitus โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/013_Hypertension.txt b/data/guidelines/internal_med/013_Hypertension.txt new file mode 100644 index 0000000000000000000000000000000000000000..1aaafee0ea1d00758663865996f6d2c3f1dc068a --- /dev/null +++ b/data/guidelines/internal_med/013_Hypertension.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/014_COPD_Exacerbation.txt b/data/guidelines/internal_med/014_COPD_Exacerbation.txt new file mode 100644 index 0000000000000000000000000000000000000000..0b3c5fc828fb9bd439603861505e5d2e1fe1f4bb --- /dev/null +++ b/data/guidelines/internal_med/014_COPD_Exacerbation.txt @@ -0,0 +1,34 @@ +Title: Diabetes Mellitus โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/015_Hypertension.txt b/data/guidelines/internal_med/015_Hypertension.txt new file mode 100644 index 0000000000000000000000000000000000000000..446b026852a3104a438d973bcc492cee58adfd33 --- /dev/null +++ b/data/guidelines/internal_med/015_Hypertension.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/016_Anemia.txt b/data/guidelines/internal_med/016_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..829a217024e1f5940584cd3319c76e67bb8a3e8c --- /dev/null +++ b/data/guidelines/internal_med/016_Anemia.txt @@ -0,0 +1,34 @@ +Title: Anemia โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/017_Chest_Pain.txt b/data/guidelines/internal_med/017_Chest_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..5d2ad159623695de16b92e05b815ec4b18b39c46 --- /dev/null +++ b/data/guidelines/internal_med/017_Chest_Pain.txt @@ -0,0 +1,34 @@ +Title: Diabetes Mellitus โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/018_Diabetes_Mellitus.txt b/data/guidelines/internal_med/018_Diabetes_Mellitus.txt new file mode 100644 index 0000000000000000000000000000000000000000..f3c26098cbffdb47373d224bf4b6aacafdeb4ab7 --- /dev/null +++ b/data/guidelines/internal_med/018_Diabetes_Mellitus.txt @@ -0,0 +1,34 @@ +Title: Fever of Unknown Origin โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/019_Asthma.txt b/data/guidelines/internal_med/019_Asthma.txt new file mode 100644 index 0000000000000000000000000000000000000000..025d02b6583f8f9d71b70b385d44b1a6dde3a58c --- /dev/null +++ b/data/guidelines/internal_med/019_Asthma.txt @@ -0,0 +1,34 @@ +Title: Hypertension โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/020_Asthma.txt b/data/guidelines/internal_med/020_Asthma.txt new file mode 100644 index 0000000000000000000000000000000000000000..8d553e191cd7f861e131f8bb4b596b17353bf298 --- /dev/null +++ b/data/guidelines/internal_med/020_Asthma.txt @@ -0,0 +1,34 @@ +Title: Fever of Unknown Origin โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/021_Anemia.txt b/data/guidelines/internal_med/021_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..847c7204d4e4e4a3ac6d70a4debb94856496e669 --- /dev/null +++ b/data/guidelines/internal_med/021_Anemia.txt @@ -0,0 +1,34 @@ +Title: COPD Exacerbation โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/022_Hypertension.txt b/data/guidelines/internal_med/022_Hypertension.txt new file mode 100644 index 0000000000000000000000000000000000000000..dba4a93b12361a68a0acd711b72dd97b4f861743 --- /dev/null +++ b/data/guidelines/internal_med/022_Hypertension.txt @@ -0,0 +1,34 @@ +Title: Anemia โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/023_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/023_Fever_of_Unknown_Origin.txt new file mode 100644 index 0000000000000000000000000000000000000000..3475b9edecb49b45c36886d56e59b1d4a4d05339 --- /dev/null +++ b/data/guidelines/internal_med/023_Fever_of_Unknown_Origin.txt @@ -0,0 +1,34 @@ +Title: Hypertension โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/024_Chest_Pain.txt b/data/guidelines/internal_med/024_Chest_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..a0d79f7e0a645e98dc719be49d0b5bfaa15e5560 --- /dev/null +++ b/data/guidelines/internal_med/024_Chest_Pain.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/025_UTI.txt b/data/guidelines/internal_med/025_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..900bc5146a37e3abe4d6f0ac2e2d5e76c0bd7fe7 --- /dev/null +++ b/data/guidelines/internal_med/025_UTI.txt @@ -0,0 +1,34 @@ +Title: Diabetes Mellitus โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/026_AKI.txt b/data/guidelines/internal_med/026_AKI.txt new file mode 100644 index 0000000000000000000000000000000000000000..034b1b18c5795ec87ab294aa5453945dcc86c6d0 --- /dev/null +++ b/data/guidelines/internal_med/026_AKI.txt @@ -0,0 +1,34 @@ +Title: Asthma โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/027_Anemia.txt b/data/guidelines/internal_med/027_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..3d3389e25bb5e3b168462da9feaaf3a42dfb0521 --- /dev/null +++ b/data/guidelines/internal_med/027_Anemia.txt @@ -0,0 +1,34 @@ +Title: UTI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/028_Asthma.txt b/data/guidelines/internal_med/028_Asthma.txt new file mode 100644 index 0000000000000000000000000000000000000000..371afec75545010894b3d032f8892dced4c49dc6 --- /dev/null +++ b/data/guidelines/internal_med/028_Asthma.txt @@ -0,0 +1,34 @@ +Title: COPD Exacerbation โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/029_Diabetes_Mellitus.txt b/data/guidelines/internal_med/029_Diabetes_Mellitus.txt new file mode 100644 index 0000000000000000000000000000000000000000..8eb8e2a16449c96778c69d78eccba4b93395abc9 --- /dev/null +++ b/data/guidelines/internal_med/029_Diabetes_Mellitus.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/030_Hypertension.txt b/data/guidelines/internal_med/030_Hypertension.txt new file mode 100644 index 0000000000000000000000000000000000000000..e66dd6d8490982ee83da76e2d08e23e91f898d01 --- /dev/null +++ b/data/guidelines/internal_med/030_Hypertension.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/031_Anemia.txt b/data/guidelines/internal_med/031_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..f799ebb823b64968d0c0d1228b07f2aac7f8dfa0 --- /dev/null +++ b/data/guidelines/internal_med/031_Anemia.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/032_Chest_Pain.txt b/data/guidelines/internal_med/032_Chest_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..a6e3482fe5759b0c5c8a0a9e76d89b5ed9315c06 --- /dev/null +++ b/data/guidelines/internal_med/032_Chest_Pain.txt @@ -0,0 +1,34 @@ +Title: Thyroid Dysfunction โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/033_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/033_Fever_of_Unknown_Origin.txt new file mode 100644 index 0000000000000000000000000000000000000000..32551d763a110b8cee62b2ebaede4fcdd9d59400 --- /dev/null +++ b/data/guidelines/internal_med/033_Fever_of_Unknown_Origin.txt @@ -0,0 +1,34 @@ +Title: Anemia โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/034_COPD_Exacerbation.txt b/data/guidelines/internal_med/034_COPD_Exacerbation.txt new file mode 100644 index 0000000000000000000000000000000000000000..98f2231d2f56ba3ddcc2a37c3fc5d8e39322e0a5 --- /dev/null +++ b/data/guidelines/internal_med/034_COPD_Exacerbation.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/035_Chest_Pain.txt b/data/guidelines/internal_med/035_Chest_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..dc0c1f3f0a4d5a5be20b9b00993783715bdc4533 --- /dev/null +++ b/data/guidelines/internal_med/035_Chest_Pain.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/036_COPD_Exacerbation.txt b/data/guidelines/internal_med/036_COPD_Exacerbation.txt new file mode 100644 index 0000000000000000000000000000000000000000..a294adcead03f7b8fb14c1acd877a4fb0ee911af --- /dev/null +++ b/data/guidelines/internal_med/036_COPD_Exacerbation.txt @@ -0,0 +1,34 @@ +Title: Diabetes Mellitus โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/037_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/037_Fever_of_Unknown_Origin.txt new file mode 100644 index 0000000000000000000000000000000000000000..4b0dca71705df39b15b2c3cb16abc5c5acdb40b6 --- /dev/null +++ b/data/guidelines/internal_med/037_Fever_of_Unknown_Origin.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/038_AKI.txt b/data/guidelines/internal_med/038_AKI.txt new file mode 100644 index 0000000000000000000000000000000000000000..868701a3d0bab128771ed0ea7da766b192857730 --- /dev/null +++ b/data/guidelines/internal_med/038_AKI.txt @@ -0,0 +1,34 @@ +Title: Thyroid Dysfunction โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/039_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/039_Fever_of_Unknown_Origin.txt new file mode 100644 index 0000000000000000000000000000000000000000..c19bc4a96315e00570ba6173bd4606143eb6d54d --- /dev/null +++ b/data/guidelines/internal_med/039_Fever_of_Unknown_Origin.txt @@ -0,0 +1,34 @@ +Title: UTI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/040_UTI.txt b/data/guidelines/internal_med/040_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..bfe7817524ededbbe4c3ea4e035c0a4f5627f97f --- /dev/null +++ b/data/guidelines/internal_med/040_UTI.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/041_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/041_Fever_of_Unknown_Origin.txt new file mode 100644 index 0000000000000000000000000000000000000000..a451f7039c22a765e93a63556ed47977385b4cad --- /dev/null +++ b/data/guidelines/internal_med/041_Fever_of_Unknown_Origin.txt @@ -0,0 +1,34 @@ +Title: UTI โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/042_AKI.txt b/data/guidelines/internal_med/042_AKI.txt new file mode 100644 index 0000000000000000000000000000000000000000..2fc92ab0a981bf6b2abd701a2bff3212623cae1c --- /dev/null +++ b/data/guidelines/internal_med/042_AKI.txt @@ -0,0 +1,34 @@ +Title: COPD Exacerbation โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/043_Thyroid_Dysfunction.txt b/data/guidelines/internal_med/043_Thyroid_Dysfunction.txt new file mode 100644 index 0000000000000000000000000000000000000000..b80dee87436ebec71218c94b0367aa8a71bc4a35 --- /dev/null +++ b/data/guidelines/internal_med/043_Thyroid_Dysfunction.txt @@ -0,0 +1,34 @@ +Title: Fever of Unknown Origin โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/044_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/044_Fever_of_Unknown_Origin.txt new file mode 100644 index 0000000000000000000000000000000000000000..0186dc8a7ba1ab84eb1d6b3aa8db3ac26d01dc4d --- /dev/null +++ b/data/guidelines/internal_med/044_Fever_of_Unknown_Origin.txt @@ -0,0 +1,34 @@ +Title: Fever of Unknown Origin โ€” 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 \ No newline at end of file diff --git a/data/guidelines/internal_med/045_Chest_Pain.txt b/data/guidelines/internal_med/045_Chest_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..efa01fa3d24aeaad52b443b084c19bd2ac494b9e --- /dev/null +++ b/data/guidelines/internal_med/045_Chest_Pain.txt @@ -0,0 +1,34 @@ +Title: UTI โ€” Internal Medicine Guideline (45) + +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 \ No newline at end of file diff --git a/data/guidelines/internal_med/046_Anemia.txt b/data/guidelines/internal_med/046_Anemia.txt new file mode 100644 index 0000000000000000000000000000000000000000..07aefa6663656c9c9bb41aa607dc7f015e9e26e8 --- /dev/null +++ b/data/guidelines/internal_med/046_Anemia.txt @@ -0,0 +1,34 @@ +Title: AKI โ€” Internal Medicine Guideline (46) + +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 \ No newline at end of file diff --git a/data/guidelines/internal_med/047_Diabetes_Mellitus.txt b/data/guidelines/internal_med/047_Diabetes_Mellitus.txt new file mode 100644 index 0000000000000000000000000000000000000000..e72fcfc35e9c43d89086bfffc2f7b80936bf02f9 --- /dev/null +++ b/data/guidelines/internal_med/047_Diabetes_Mellitus.txt @@ -0,0 +1,34 @@ +Title: Thyroid Dysfunction โ€” Internal Medicine Guideline (47) + +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 \ No newline at end of file diff --git a/data/guidelines/internal_med/048_UTI.txt b/data/guidelines/internal_med/048_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..5eb6e92c8c1653b2941709543d7358d3ae282902 --- /dev/null +++ b/data/guidelines/internal_med/048_UTI.txt @@ -0,0 +1,34 @@ +Title: Fever of Unknown Origin โ€” Internal Medicine Guideline (48) + +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 \ No newline at end of file diff --git a/data/guidelines/internal_med/049_COPD_Exacerbation.txt b/data/guidelines/internal_med/049_COPD_Exacerbation.txt new file mode 100644 index 0000000000000000000000000000000000000000..e5b6e4f40623007649034b0202b02e9731012315 --- /dev/null +++ b/data/guidelines/internal_med/049_COPD_Exacerbation.txt @@ -0,0 +1,34 @@ +Title: Asthma โ€” Internal Medicine Guideline (49) + +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 \ No newline at end of file diff --git a/data/guidelines/internal_med/050_UTI.txt b/data/guidelines/internal_med/050_UTI.txt new file mode 100644 index 0000000000000000000000000000000000000000..36fadd554139112eef1d069797a94997aed78df8 --- /dev/null +++ b/data/guidelines/internal_med/050_UTI.txt @@ -0,0 +1,34 @@ +Title: Chest Pain โ€” Internal Medicine Guideline (50) + +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 \ No newline at end of file diff --git a/data/guidelines/obgyn/001_AUB.txt b/data/guidelines/obgyn/001_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..77e46282adc9b1abdc5541f028bfb29d9b31e5c4 --- /dev/null +++ b/data/guidelines/obgyn/001_AUB.txt @@ -0,0 +1,34 @@ +Title: Infertility Workup โ€” OBGYN Guideline (1) + +Clinical Summary: +Evidence-aligned approach to infertility workup in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/002_Adenomyosis.txt b/data/guidelines/obgyn/002_Adenomyosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..a9d4a0b62aecc8ea0c895cca2dc1e5752d142b48 --- /dev/null +++ b/data/guidelines/obgyn/002_Adenomyosis.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (2) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/003_Adenomyosis.txt b/data/guidelines/obgyn/003_Adenomyosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..b1642ff36a5214caf77bc256185b4f1f95982a5d --- /dev/null +++ b/data/guidelines/obgyn/003_Adenomyosis.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (3) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/004_Threatened_Miscarriage.txt b/data/guidelines/obgyn/004_Threatened_Miscarriage.txt new file mode 100644 index 0000000000000000000000000000000000000000..6b70b72cf6e88b1b37df29b2ef595552f73f0a3e --- /dev/null +++ b/data/guidelines/obgyn/004_Threatened_Miscarriage.txt @@ -0,0 +1,34 @@ +Title: Threatened Miscarriage โ€” OBGYN Guideline (4) + +Clinical Summary: +Evidence-aligned approach to threatened miscarriage in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/005_AUB.txt b/data/guidelines/obgyn/005_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..50ad90410e8e352510dc8036ee90410f1427f1ea --- /dev/null +++ b/data/guidelines/obgyn/005_AUB.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (5) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/006_Adenomyosis.txt b/data/guidelines/obgyn/006_Adenomyosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..cc5d9ea4b257e076b7e0c2a7671db1acacb89ac6 --- /dev/null +++ b/data/guidelines/obgyn/006_Adenomyosis.txt @@ -0,0 +1,34 @@ +Title: PCOS โ€” OBGYN Guideline (6) + +Clinical Summary: +Evidence-aligned approach to pcos in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/007_Antenatal_Care.txt b/data/guidelines/obgyn/007_Antenatal_Care.txt new file mode 100644 index 0000000000000000000000000000000000000000..4031181295b77a91001148550e077c103a933d11 --- /dev/null +++ b/data/guidelines/obgyn/007_Antenatal_Care.txt @@ -0,0 +1,34 @@ +Title: AUB โ€” OBGYN Guideline (7) + +Clinical Summary: +Evidence-aligned approach to aub in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/008_AUB.txt b/data/guidelines/obgyn/008_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..f12a8c9fd070b38b0050d5d8c96bef625e191894 --- /dev/null +++ b/data/guidelines/obgyn/008_AUB.txt @@ -0,0 +1,34 @@ +Title: Endometriosis โ€” OBGYN Guideline (8) + +Clinical Summary: +Evidence-aligned approach to endometriosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/009_PCOS.txt b/data/guidelines/obgyn/009_PCOS.txt new file mode 100644 index 0000000000000000000000000000000000000000..e259c7c09d3ab5100e0659ef3b58a140ef691944 --- /dev/null +++ b/data/guidelines/obgyn/009_PCOS.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (9) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/010_Fibroids.txt b/data/guidelines/obgyn/010_Fibroids.txt new file mode 100644 index 0000000000000000000000000000000000000000..818a5873d63b9d24c0cd938314e57aa3f37f79c5 --- /dev/null +++ b/data/guidelines/obgyn/010_Fibroids.txt @@ -0,0 +1,34 @@ +Title: AUB โ€” OBGYN Guideline (10) + +Clinical Summary: +Evidence-aligned approach to aub in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/011_PCOS.txt b/data/guidelines/obgyn/011_PCOS.txt new file mode 100644 index 0000000000000000000000000000000000000000..0c0125faba727e7ed2865dff7197b00f30beb1e2 --- /dev/null +++ b/data/guidelines/obgyn/011_PCOS.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (11) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/012_PCOS.txt b/data/guidelines/obgyn/012_PCOS.txt new file mode 100644 index 0000000000000000000000000000000000000000..7db129bf4250ad3fb5f27da0a795397f8a8f94e8 --- /dev/null +++ b/data/guidelines/obgyn/012_PCOS.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (12) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/013_Threatened_Miscarriage.txt b/data/guidelines/obgyn/013_Threatened_Miscarriage.txt new file mode 100644 index 0000000000000000000000000000000000000000..56d695f50daa28291953a4c5f98d636144ef2743 --- /dev/null +++ b/data/guidelines/obgyn/013_Threatened_Miscarriage.txt @@ -0,0 +1,34 @@ +Title: Endometriosis โ€” OBGYN Guideline (13) + +Clinical Summary: +Evidence-aligned approach to endometriosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/014_AUB.txt b/data/guidelines/obgyn/014_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..f6986a1e310ef7137902a3364340d91e5181de8e --- /dev/null +++ b/data/guidelines/obgyn/014_AUB.txt @@ -0,0 +1,34 @@ +Title: Antenatal Care โ€” OBGYN Guideline (14) + +Clinical Summary: +Evidence-aligned approach to antenatal care in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/015_AUB.txt b/data/guidelines/obgyn/015_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..cfc8659cd1f27131ebbc16660329373b7b4e01d2 --- /dev/null +++ b/data/guidelines/obgyn/015_AUB.txt @@ -0,0 +1,34 @@ +Title: PCOS โ€” OBGYN Guideline (15) + +Clinical Summary: +Evidence-aligned approach to pcos in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/016_Endometriosis.txt b/data/guidelines/obgyn/016_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..bb5d8d0d741a7a441995fa226d845caa069903c0 --- /dev/null +++ b/data/guidelines/obgyn/016_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Infertility Workup โ€” OBGYN Guideline (16) + +Clinical Summary: +Evidence-aligned approach to infertility workup in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/017_Fibroids.txt b/data/guidelines/obgyn/017_Fibroids.txt new file mode 100644 index 0000000000000000000000000000000000000000..43bce869ef654c84becbf8abc08f207649b63918 --- /dev/null +++ b/data/guidelines/obgyn/017_Fibroids.txt @@ -0,0 +1,34 @@ +Title: Adenomyosis โ€” OBGYN Guideline (17) + +Clinical Summary: +Evidence-aligned approach to adenomyosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/018_Dysmenorrhea.txt b/data/guidelines/obgyn/018_Dysmenorrhea.txt new file mode 100644 index 0000000000000000000000000000000000000000..c0107ceff72b7e0be38a037ef81016c4a1ebd616 --- /dev/null +++ b/data/guidelines/obgyn/018_Dysmenorrhea.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (18) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/019_Antenatal_Care.txt b/data/guidelines/obgyn/019_Antenatal_Care.txt new file mode 100644 index 0000000000000000000000000000000000000000..af39c142dc15ac689fcb376fdd9d39eb3ecd9fab --- /dev/null +++ b/data/guidelines/obgyn/019_Antenatal_Care.txt @@ -0,0 +1,34 @@ +Title: Antenatal Care โ€” OBGYN Guideline (19) + +Clinical Summary: +Evidence-aligned approach to antenatal care in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/020_Infertility_Workup.txt b/data/guidelines/obgyn/020_Infertility_Workup.txt new file mode 100644 index 0000000000000000000000000000000000000000..f96348ce831951fccf9eedfc076c866f8fb1decf --- /dev/null +++ b/data/guidelines/obgyn/020_Infertility_Workup.txt @@ -0,0 +1,34 @@ +Title: Threatened Miscarriage โ€” OBGYN Guideline (20) + +Clinical Summary: +Evidence-aligned approach to threatened miscarriage in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/021_Fibroids.txt b/data/guidelines/obgyn/021_Fibroids.txt new file mode 100644 index 0000000000000000000000000000000000000000..f089a8a3e599aec887e3a17eec3e247907e28b21 --- /dev/null +++ b/data/guidelines/obgyn/021_Fibroids.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (21) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/022_AUB.txt b/data/guidelines/obgyn/022_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..8f2d431b7454979c39088b4a65d14c8225951e8e --- /dev/null +++ b/data/guidelines/obgyn/022_AUB.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (22) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/023_Adenomyosis.txt b/data/guidelines/obgyn/023_Adenomyosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..b2fa47fecdfd4b6e09e098ceda6975ba0266202a --- /dev/null +++ b/data/guidelines/obgyn/023_Adenomyosis.txt @@ -0,0 +1,34 @@ +Title: Infertility Workup โ€” OBGYN Guideline (23) + +Clinical Summary: +Evidence-aligned approach to infertility workup in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/024_PCOS.txt b/data/guidelines/obgyn/024_PCOS.txt new file mode 100644 index 0000000000000000000000000000000000000000..b4527945f893554c4d9c9a6e376c30d9d96e1443 --- /dev/null +++ b/data/guidelines/obgyn/024_PCOS.txt @@ -0,0 +1,34 @@ +Title: Infertility Workup โ€” OBGYN Guideline (24) + +Clinical Summary: +Evidence-aligned approach to infertility workup in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/025_Ectopic_Pregnancy.txt b/data/guidelines/obgyn/025_Ectopic_Pregnancy.txt new file mode 100644 index 0000000000000000000000000000000000000000..a2e7dff6631d6e45f41f43e884d733525b616177 --- /dev/null +++ b/data/guidelines/obgyn/025_Ectopic_Pregnancy.txt @@ -0,0 +1,34 @@ +Title: Antenatal Care โ€” OBGYN Guideline (25) + +Clinical Summary: +Evidence-aligned approach to antenatal care in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/026_Infertility_Workup.txt b/data/guidelines/obgyn/026_Infertility_Workup.txt new file mode 100644 index 0000000000000000000000000000000000000000..9f3d29af55d4d991e8e11fbc4558a0f7a76b2a30 --- /dev/null +++ b/data/guidelines/obgyn/026_Infertility_Workup.txt @@ -0,0 +1,34 @@ +Title: AUB โ€” OBGYN Guideline (26) + +Clinical Summary: +Evidence-aligned approach to aub in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/027_Threatened_Miscarriage.txt b/data/guidelines/obgyn/027_Threatened_Miscarriage.txt new file mode 100644 index 0000000000000000000000000000000000000000..331bb86cf0962614c1273acfeae44ff9902a45ce --- /dev/null +++ b/data/guidelines/obgyn/027_Threatened_Miscarriage.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (27) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/028_Infertility_Workup.txt b/data/guidelines/obgyn/028_Infertility_Workup.txt new file mode 100644 index 0000000000000000000000000000000000000000..e838fcc2856e943a8ed9eb3b83207a52461e576e --- /dev/null +++ b/data/guidelines/obgyn/028_Infertility_Workup.txt @@ -0,0 +1,34 @@ +Title: AUB โ€” OBGYN Guideline (28) + +Clinical Summary: +Evidence-aligned approach to aub in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/029_Antenatal_Care.txt b/data/guidelines/obgyn/029_Antenatal_Care.txt new file mode 100644 index 0000000000000000000000000000000000000000..09acbb940217efd7859f5187eb38a87c962d6312 --- /dev/null +++ b/data/guidelines/obgyn/029_Antenatal_Care.txt @@ -0,0 +1,34 @@ +Title: Adenomyosis โ€” OBGYN Guideline (29) + +Clinical Summary: +Evidence-aligned approach to adenomyosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/030_Threatened_Miscarriage.txt b/data/guidelines/obgyn/030_Threatened_Miscarriage.txt new file mode 100644 index 0000000000000000000000000000000000000000..3930ca716801f3126d511b79fbb0d83eb320a512 --- /dev/null +++ b/data/guidelines/obgyn/030_Threatened_Miscarriage.txt @@ -0,0 +1,34 @@ +Title: Endometriosis โ€” OBGYN Guideline (30) + +Clinical Summary: +Evidence-aligned approach to endometriosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/031_Endometriosis.txt b/data/guidelines/obgyn/031_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..4de8491cdeaa400338941ed215c15553ddc6cd8e --- /dev/null +++ b/data/guidelines/obgyn/031_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (31) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/032_AUB.txt b/data/guidelines/obgyn/032_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..952af7b1a9832ac620d891767eaa326a460a4ff4 --- /dev/null +++ b/data/guidelines/obgyn/032_AUB.txt @@ -0,0 +1,34 @@ +Title: Antenatal Care โ€” OBGYN Guideline (32) + +Clinical Summary: +Evidence-aligned approach to antenatal care in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/033_Ectopic_Pregnancy.txt b/data/guidelines/obgyn/033_Ectopic_Pregnancy.txt new file mode 100644 index 0000000000000000000000000000000000000000..d0099b5d95145f7eca486334c2fe4abce51d4cd1 --- /dev/null +++ b/data/guidelines/obgyn/033_Ectopic_Pregnancy.txt @@ -0,0 +1,34 @@ +Title: Adenomyosis โ€” OBGYN Guideline (33) + +Clinical Summary: +Evidence-aligned approach to adenomyosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/034_Dysmenorrhea.txt b/data/guidelines/obgyn/034_Dysmenorrhea.txt new file mode 100644 index 0000000000000000000000000000000000000000..ec5d90f4bac79102040f91b3e9f80fdf3ee99828 --- /dev/null +++ b/data/guidelines/obgyn/034_Dysmenorrhea.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (34) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/035_Endometriosis.txt b/data/guidelines/obgyn/035_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..43d7a001dd8f03ae64b8e85dd7e71b323bbde385 --- /dev/null +++ b/data/guidelines/obgyn/035_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Antenatal Care โ€” OBGYN Guideline (35) + +Clinical Summary: +Evidence-aligned approach to antenatal care in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/036_Dysmenorrhea.txt b/data/guidelines/obgyn/036_Dysmenorrhea.txt new file mode 100644 index 0000000000000000000000000000000000000000..fb782022126e47924de00bbdf49f9f81b02025b8 --- /dev/null +++ b/data/guidelines/obgyn/036_Dysmenorrhea.txt @@ -0,0 +1,34 @@ +Title: PCOS โ€” OBGYN Guideline (36) + +Clinical Summary: +Evidence-aligned approach to pcos in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/037_AUB.txt b/data/guidelines/obgyn/037_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..2be37ae560e8e548bfcd3dd330f7c54b69cce31d --- /dev/null +++ b/data/guidelines/obgyn/037_AUB.txt @@ -0,0 +1,34 @@ +Title: Dysmenorrhea โ€” OBGYN Guideline (37) + +Clinical Summary: +Evidence-aligned approach to dysmenorrhea in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/038_Antenatal_Care.txt b/data/guidelines/obgyn/038_Antenatal_Care.txt new file mode 100644 index 0000000000000000000000000000000000000000..bdbbb112578faa9c288d3eb8e38326fc1959b1c2 --- /dev/null +++ b/data/guidelines/obgyn/038_Antenatal_Care.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (38) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/039_Threatened_Miscarriage.txt b/data/guidelines/obgyn/039_Threatened_Miscarriage.txt new file mode 100644 index 0000000000000000000000000000000000000000..97b5474b945156d8936f2bb7b81460afb7e57155 --- /dev/null +++ b/data/guidelines/obgyn/039_Threatened_Miscarriage.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (39) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/040_Ectopic_Pregnancy.txt b/data/guidelines/obgyn/040_Ectopic_Pregnancy.txt new file mode 100644 index 0000000000000000000000000000000000000000..24c3469616c183c4abe7269c0c76f5645c5f671b --- /dev/null +++ b/data/guidelines/obgyn/040_Ectopic_Pregnancy.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (40) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/041_Endometriosis.txt b/data/guidelines/obgyn/041_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..1d0a0af5df8c88cfd6e2ff27ab9c9185ffc80433 --- /dev/null +++ b/data/guidelines/obgyn/041_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Threatened Miscarriage โ€” OBGYN Guideline (41) + +Clinical Summary: +Evidence-aligned approach to threatened miscarriage in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/042_Endometriosis.txt b/data/guidelines/obgyn/042_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..a16d46837e8e96f2e8301a2726fbbecc7685298b --- /dev/null +++ b/data/guidelines/obgyn/042_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (42) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/043_Fibroids.txt b/data/guidelines/obgyn/043_Fibroids.txt new file mode 100644 index 0000000000000000000000000000000000000000..066cbe314b5fc80c0c4c718afbe9551df20a99d9 --- /dev/null +++ b/data/guidelines/obgyn/043_Fibroids.txt @@ -0,0 +1,34 @@ +Title: Threatened Miscarriage โ€” OBGYN Guideline (43) + +Clinical Summary: +Evidence-aligned approach to threatened miscarriage in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/044_Fibroids.txt b/data/guidelines/obgyn/044_Fibroids.txt new file mode 100644 index 0000000000000000000000000000000000000000..a8483789dc4184ff600ac05e16770ebcf2ffc44c --- /dev/null +++ b/data/guidelines/obgyn/044_Fibroids.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (44) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/045_Endometriosis.txt b/data/guidelines/obgyn/045_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..a5aa7b852545f927c92023181b7d623281dfa57f --- /dev/null +++ b/data/guidelines/obgyn/045_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Adenomyosis โ€” OBGYN Guideline (45) + +Clinical Summary: +Evidence-aligned approach to adenomyosis in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/046_AUB.txt b/data/guidelines/obgyn/046_AUB.txt new file mode 100644 index 0000000000000000000000000000000000000000..5375f7e038c976f7071cb5f9ba34ecaf2e5d1755 --- /dev/null +++ b/data/guidelines/obgyn/046_AUB.txt @@ -0,0 +1,34 @@ +Title: Ectopic Pregnancy โ€” OBGYN Guideline (46) + +Clinical Summary: +Evidence-aligned approach to ectopic pregnancy in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/047_Endometriosis.txt b/data/guidelines/obgyn/047_Endometriosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..90d6f7f11133c8d56b578294704966b921452b87 --- /dev/null +++ b/data/guidelines/obgyn/047_Endometriosis.txt @@ -0,0 +1,34 @@ +Title: Infertility Workup โ€” OBGYN Guideline (47) + +Clinical Summary: +Evidence-aligned approach to infertility workup in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/048_Infertility_Workup.txt b/data/guidelines/obgyn/048_Infertility_Workup.txt new file mode 100644 index 0000000000000000000000000000000000000000..d5fb6b34979644e9988a429407ce7565bcf9d116 --- /dev/null +++ b/data/guidelines/obgyn/048_Infertility_Workup.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (48) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/049_Infertility_Workup.txt b/data/guidelines/obgyn/049_Infertility_Workup.txt new file mode 100644 index 0000000000000000000000000000000000000000..aa7834abbe7e8d53120e4c9ea61e08d4318ec515 --- /dev/null +++ b/data/guidelines/obgyn/049_Infertility_Workup.txt @@ -0,0 +1,34 @@ +Title: Fibroids โ€” OBGYN Guideline (49) + +Clinical Summary: +Evidence-aligned approach to fibroids in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/obgyn/050_Infertility_Workup.txt b/data/guidelines/obgyn/050_Infertility_Workup.txt new file mode 100644 index 0000000000000000000000000000000000000000..6b33bae767777565fc7abae8462dc7e6a43966c8 --- /dev/null +++ b/data/guidelines/obgyn/050_Infertility_Workup.txt @@ -0,0 +1,34 @@ +Title: Antenatal Care โ€” OBGYN Guideline (50) + +Clinical Summary: +Evidence-aligned approach to antenatal care in OBGYN. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/001_Plantar_Fasciitis.txt b/data/guidelines/orthopedics/001_Plantar_Fasciitis.txt new file mode 100644 index 0000000000000000000000000000000000000000..bc4def1ea048c43c1e34f0ba2af7cfdf73c42e46 --- /dev/null +++ b/data/guidelines/orthopedics/001_Plantar_Fasciitis.txt @@ -0,0 +1,34 @@ +Title: Rotator Cuff Tear โ€” Orthopedics Guideline (1) + +Clinical Summary: +Evidence-aligned approach to rotator cuff tear in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/002_ACL_Injury.txt b/data/guidelines/orthopedics/002_ACL_Injury.txt new file mode 100644 index 0000000000000000000000000000000000000000..b131ff54f4e1f3ccd8552fc4a5ed33af832212d1 --- /dev/null +++ b/data/guidelines/orthopedics/002_ACL_Injury.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (2) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/003_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/003_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..58817296f1c478eb08e8ae0528c8a82ee28df723 --- /dev/null +++ b/data/guidelines/orthopedics/003_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Hip Fracture โ€” Orthopedics Guideline (3) + +Clinical Summary: +Evidence-aligned approach to hip fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/004_Hip_Fracture.txt b/data/guidelines/orthopedics/004_Hip_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..9db4e8b5eeff9606d3d0e83d98ddceb527bc38fe --- /dev/null +++ b/data/guidelines/orthopedics/004_Hip_Fracture.txt @@ -0,0 +1,34 @@ +Title: ACL Injury โ€” Orthopedics Guideline (4) + +Clinical Summary: +Evidence-aligned approach to acl injury in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/005_Frozen_Shoulder.txt b/data/guidelines/orthopedics/005_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..9c17611a0c5f3ba8f3576e7b005c7411808e80ae --- /dev/null +++ b/data/guidelines/orthopedics/005_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Cervical Spondylosis โ€” Orthopedics Guideline (5) + +Clinical Summary: +Evidence-aligned approach to cervical spondylosis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/006_Plantar_Fasciitis.txt b/data/guidelines/orthopedics/006_Plantar_Fasciitis.txt new file mode 100644 index 0000000000000000000000000000000000000000..7f475e939b442072004575819aabdb2f5803777b --- /dev/null +++ b/data/guidelines/orthopedics/006_Plantar_Fasciitis.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (6) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/007_Frozen_Shoulder.txt b/data/guidelines/orthopedics/007_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..3ad7c2da2e3aab11d098ff609041c4034ec4e5f7 --- /dev/null +++ b/data/guidelines/orthopedics/007_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Wrist Fracture โ€” Orthopedics Guideline (7) + +Clinical Summary: +Evidence-aligned approach to wrist fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/008_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/008_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..cd25f1e52588587ead8a58ef94755be92e96001d --- /dev/null +++ b/data/guidelines/orthopedics/008_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: ACL Injury โ€” Orthopedics Guideline (8) + +Clinical Summary: +Evidence-aligned approach to acl injury in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/009_Frozen_Shoulder.txt b/data/guidelines/orthopedics/009_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..2ca07fce6248d694edc67648c2f8cfd9e7f12b07 --- /dev/null +++ b/data/guidelines/orthopedics/009_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (9) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/010_Plantar_Fasciitis.txt b/data/guidelines/orthopedics/010_Plantar_Fasciitis.txt new file mode 100644 index 0000000000000000000000000000000000000000..8befb63bf82ec53b00bcf50f135ea1eeca2010b9 --- /dev/null +++ b/data/guidelines/orthopedics/010_Plantar_Fasciitis.txt @@ -0,0 +1,34 @@ +Title: Rotator Cuff Tear โ€” Orthopedics Guideline (10) + +Clinical Summary: +Evidence-aligned approach to rotator cuff tear in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/011_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/011_Knee_Osteoarthritis.txt new file mode 100644 index 0000000000000000000000000000000000000000..3bc04f83edb08f699a374bd57e582aef3491796e --- /dev/null +++ b/data/guidelines/orthopedics/011_Knee_Osteoarthritis.txt @@ -0,0 +1,34 @@ +Title: Low Back Pain โ€” Orthopedics Guideline (11) + +Clinical Summary: +Evidence-aligned approach to low back pain in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/012_Frozen_Shoulder.txt b/data/guidelines/orthopedics/012_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..cb6675e6440e3d486f3799b1410ae5825f18dc82 --- /dev/null +++ b/data/guidelines/orthopedics/012_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Cervical Spondylosis โ€” Orthopedics Guideline (12) + +Clinical Summary: +Evidence-aligned approach to cervical spondylosis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/013_Ankle_Sprain.txt b/data/guidelines/orthopedics/013_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..75489202639d08dcd6e4988db5252ca2e8025a12 --- /dev/null +++ b/data/guidelines/orthopedics/013_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Wrist Fracture โ€” Orthopedics Guideline (13) + +Clinical Summary: +Evidence-aligned approach to wrist fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/014_Ankle_Sprain.txt b/data/guidelines/orthopedics/014_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..c0046c9a148ff3eec754d1a6a6868fd327715a6e --- /dev/null +++ b/data/guidelines/orthopedics/014_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Cervical Spondylosis โ€” Orthopedics Guideline (14) + +Clinical Summary: +Evidence-aligned approach to cervical spondylosis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..46bc1988c48823e581d4855d32d58a7b37c9b1cf --- /dev/null +++ b/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (15) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/016_Ankle_Sprain.txt b/data/guidelines/orthopedics/016_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..eb9363721bf454eed49952cac69eb6e985504ffc --- /dev/null +++ b/data/guidelines/orthopedics/016_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Low Back Pain โ€” Orthopedics Guideline (16) + +Clinical Summary: +Evidence-aligned approach to low back pain in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/017_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/017_Knee_Osteoarthritis.txt new file mode 100644 index 0000000000000000000000000000000000000000..0b61294aa3087592587b3a53d3df1a19540b0a36 --- /dev/null +++ b/data/guidelines/orthopedics/017_Knee_Osteoarthritis.txt @@ -0,0 +1,34 @@ +Title: Frozen Shoulder โ€” Orthopedics Guideline (17) + +Clinical Summary: +Evidence-aligned approach to frozen shoulder in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/018_Frozen_Shoulder.txt b/data/guidelines/orthopedics/018_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..00ab542eb8d2fa7eac72751eeaf1542ab112eda8 --- /dev/null +++ b/data/guidelines/orthopedics/018_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Ankle Sprain โ€” Orthopedics Guideline (18) + +Clinical Summary: +Evidence-aligned approach to ankle sprain in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/019_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/019_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..0537f28bc96eb5bd8d152609a58ff0c52ba6d8f5 --- /dev/null +++ b/data/guidelines/orthopedics/019_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Ankle Sprain โ€” Orthopedics Guideline (19) + +Clinical Summary: +Evidence-aligned approach to ankle sprain in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/020_Frozen_Shoulder.txt b/data/guidelines/orthopedics/020_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..c836a646eb4b7a3365bda9b50ab8d63d9f06449b --- /dev/null +++ b/data/guidelines/orthopedics/020_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Rotator Cuff Tear โ€” Orthopedics Guideline (20) + +Clinical Summary: +Evidence-aligned approach to rotator cuff tear in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/021_ACL_Injury.txt b/data/guidelines/orthopedics/021_ACL_Injury.txt new file mode 100644 index 0000000000000000000000000000000000000000..47a29d9e5a87e23e709bf4904b86d040d52baf5b --- /dev/null +++ b/data/guidelines/orthopedics/021_ACL_Injury.txt @@ -0,0 +1,34 @@ +Title: Rotator Cuff Tear โ€” Orthopedics Guideline (21) + +Clinical Summary: +Evidence-aligned approach to rotator cuff tear in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/022_Ankle_Sprain.txt b/data/guidelines/orthopedics/022_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..3ab48bdf30a21cab0d71bba813238736adf0a48f --- /dev/null +++ b/data/guidelines/orthopedics/022_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Cervical Spondylosis โ€” Orthopedics Guideline (22) + +Clinical Summary: +Evidence-aligned approach to cervical spondylosis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/023_Hip_Fracture.txt b/data/guidelines/orthopedics/023_Hip_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..bf505072398e4703dea86390067f469fb338d3e7 --- /dev/null +++ b/data/guidelines/orthopedics/023_Hip_Fracture.txt @@ -0,0 +1,34 @@ +Title: ACL Injury โ€” Orthopedics Guideline (23) + +Clinical Summary: +Evidence-aligned approach to acl injury in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/024_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/024_Rotator_Cuff_Tear.txt new file mode 100644 index 0000000000000000000000000000000000000000..ab21bb0e383f57196f99b7c12058c58c21c74a0c --- /dev/null +++ b/data/guidelines/orthopedics/024_Rotator_Cuff_Tear.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (24) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/025_Frozen_Shoulder.txt b/data/guidelines/orthopedics/025_Frozen_Shoulder.txt new file mode 100644 index 0000000000000000000000000000000000000000..c153911d7a5dc378ebeec7dd6eb4315a90f04140 --- /dev/null +++ b/data/guidelines/orthopedics/025_Frozen_Shoulder.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (25) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/026_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/026_Rotator_Cuff_Tear.txt new file mode 100644 index 0000000000000000000000000000000000000000..87c67581c1ceaf082c0bf227c87e5bbe9b568e8b --- /dev/null +++ b/data/guidelines/orthopedics/026_Rotator_Cuff_Tear.txt @@ -0,0 +1,34 @@ +Title: Frozen Shoulder โ€” Orthopedics Guideline (26) + +Clinical Summary: +Evidence-aligned approach to frozen shoulder in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/027_Ankle_Sprain.txt b/data/guidelines/orthopedics/027_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..0fa5c1dfc4cdcdb50344c1b42ca6f03dfc5ffe8a --- /dev/null +++ b/data/guidelines/orthopedics/027_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (27) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/028_Wrist_Fracture.txt b/data/guidelines/orthopedics/028_Wrist_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..79507cb6a30dde25cd0948404bee6de90ab4ae67 --- /dev/null +++ b/data/guidelines/orthopedics/028_Wrist_Fracture.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (28) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/029_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/029_Knee_Osteoarthritis.txt new file mode 100644 index 0000000000000000000000000000000000000000..7717effd40a9a22a5ff10a7634b036936d6e90ec --- /dev/null +++ b/data/guidelines/orthopedics/029_Knee_Osteoarthritis.txt @@ -0,0 +1,34 @@ +Title: Hip Fracture โ€” Orthopedics Guideline (29) + +Clinical Summary: +Evidence-aligned approach to hip fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/030_Plantar_Fasciitis.txt b/data/guidelines/orthopedics/030_Plantar_Fasciitis.txt new file mode 100644 index 0000000000000000000000000000000000000000..f4f95553c387eb3e3217d2e65274936b7879af8f --- /dev/null +++ b/data/guidelines/orthopedics/030_Plantar_Fasciitis.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (30) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/031_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/031_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..3db379b7ead0cd706ae8a8f3d5ba221ab1a0f6d3 --- /dev/null +++ b/data/guidelines/orthopedics/031_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (31) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/032_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/032_Knee_Osteoarthritis.txt new file mode 100644 index 0000000000000000000000000000000000000000..891998b54ff21c3b4d773199064dac4ec5c4fab4 --- /dev/null +++ b/data/guidelines/orthopedics/032_Knee_Osteoarthritis.txt @@ -0,0 +1,34 @@ +Title: Hip Fracture โ€” Orthopedics Guideline (32) + +Clinical Summary: +Evidence-aligned approach to hip fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/033_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/033_Knee_Osteoarthritis.txt new file mode 100644 index 0000000000000000000000000000000000000000..8383ad469dae2f40f62f2b83fa3513310910d610 --- /dev/null +++ b/data/guidelines/orthopedics/033_Knee_Osteoarthritis.txt @@ -0,0 +1,34 @@ +Title: Low Back Pain โ€” Orthopedics Guideline (33) + +Clinical Summary: +Evidence-aligned approach to low back pain in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/034_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/034_Rotator_Cuff_Tear.txt new file mode 100644 index 0000000000000000000000000000000000000000..fc6c5ebec239496fd7268f8cb4175af586188f63 --- /dev/null +++ b/data/guidelines/orthopedics/034_Rotator_Cuff_Tear.txt @@ -0,0 +1,34 @@ +Title: Cervical Spondylosis โ€” Orthopedics Guideline (34) + +Clinical Summary: +Evidence-aligned approach to cervical spondylosis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/035_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/035_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..f344e9f2d41dee2d481c61d46b63348434b1d03f --- /dev/null +++ b/data/guidelines/orthopedics/035_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: ACL Injury โ€” Orthopedics Guideline (35) + +Clinical Summary: +Evidence-aligned approach to acl injury in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/036_Ankle_Sprain.txt b/data/guidelines/orthopedics/036_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..1236e11823c6b20731c7b62361007e653b6c754a --- /dev/null +++ b/data/guidelines/orthopedics/036_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (36) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/037_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/037_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..687e3362a09b1b07b25c82e26e751968527d5611 --- /dev/null +++ b/data/guidelines/orthopedics/037_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Hip Fracture โ€” Orthopedics Guideline (37) + +Clinical Summary: +Evidence-aligned approach to hip fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/038_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/038_Rotator_Cuff_Tear.txt new file mode 100644 index 0000000000000000000000000000000000000000..5e2c941779eac031bddd6f466021796ced2bd169 --- /dev/null +++ b/data/guidelines/orthopedics/038_Rotator_Cuff_Tear.txt @@ -0,0 +1,34 @@ +Title: Rotator Cuff Tear โ€” Orthopedics Guideline (38) + +Clinical Summary: +Evidence-aligned approach to rotator cuff tear in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/039_Wrist_Fracture.txt b/data/guidelines/orthopedics/039_Wrist_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..4b2bab38fd24eaadbfbefb1452a826f789be6dd4 --- /dev/null +++ b/data/guidelines/orthopedics/039_Wrist_Fracture.txt @@ -0,0 +1,34 @@ +Title: Hip Fracture โ€” Orthopedics Guideline (39) + +Clinical Summary: +Evidence-aligned approach to hip fracture in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/040_Low_Back_Pain.txt b/data/guidelines/orthopedics/040_Low_Back_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..475351a0914697157fedceacb839bca3c853aa27 --- /dev/null +++ b/data/guidelines/orthopedics/040_Low_Back_Pain.txt @@ -0,0 +1,34 @@ +Title: Frozen Shoulder โ€” Orthopedics Guideline (40) + +Clinical Summary: +Evidence-aligned approach to frozen shoulder in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/041_Hip_Fracture.txt b/data/guidelines/orthopedics/041_Hip_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..ec02820cc7794d26b46861a498e66b055c427f3a --- /dev/null +++ b/data/guidelines/orthopedics/041_Hip_Fracture.txt @@ -0,0 +1,34 @@ +Title: Cervical Spondylosis โ€” Orthopedics Guideline (41) + +Clinical Summary: +Evidence-aligned approach to cervical spondylosis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/042_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/042_Rotator_Cuff_Tear.txt new file mode 100644 index 0000000000000000000000000000000000000000..a20a947aa019fb67b72a9b9d9d2aa6db65bf759f --- /dev/null +++ b/data/guidelines/orthopedics/042_Rotator_Cuff_Tear.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (42) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/043_Wrist_Fracture.txt b/data/guidelines/orthopedics/043_Wrist_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..9d967aa18fbb3479308b3111dcdea8ea683e1207 --- /dev/null +++ b/data/guidelines/orthopedics/043_Wrist_Fracture.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (43) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/044_Ankle_Sprain.txt b/data/guidelines/orthopedics/044_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..508360e0da89268b2eb668d0ee36d022077ce782 --- /dev/null +++ b/data/guidelines/orthopedics/044_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Frozen Shoulder โ€” Orthopedics Guideline (44) + +Clinical Summary: +Evidence-aligned approach to frozen shoulder in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/045_Ankle_Sprain.txt b/data/guidelines/orthopedics/045_Ankle_Sprain.txt new file mode 100644 index 0000000000000000000000000000000000000000..a23de68fe042154a08a8cfc2d9a5d153217f355c --- /dev/null +++ b/data/guidelines/orthopedics/045_Ankle_Sprain.txt @@ -0,0 +1,34 @@ +Title: Rotator Cuff Tear โ€” Orthopedics Guideline (45) + +Clinical Summary: +Evidence-aligned approach to rotator cuff tear in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/046_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/046_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..37ad15c0a793670c276db2c52214a85381055f42 --- /dev/null +++ b/data/guidelines/orthopedics/046_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Low Back Pain โ€” Orthopedics Guideline (46) + +Clinical Summary: +Evidence-aligned approach to low back pain in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/047_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/047_Cervical_Spondylosis.txt new file mode 100644 index 0000000000000000000000000000000000000000..ee81e28af533cf88a1079162e121ff74770d75a9 --- /dev/null +++ b/data/guidelines/orthopedics/047_Cervical_Spondylosis.txt @@ -0,0 +1,34 @@ +Title: Frozen Shoulder โ€” Orthopedics Guideline (47) + +Clinical Summary: +Evidence-aligned approach to frozen shoulder in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/048_Hip_Fracture.txt b/data/guidelines/orthopedics/048_Hip_Fracture.txt new file mode 100644 index 0000000000000000000000000000000000000000..5f7e8154e882f0b83c64cc2ead71072ff7f4fbb5 --- /dev/null +++ b/data/guidelines/orthopedics/048_Hip_Fracture.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (48) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/049_Low_Back_Pain.txt b/data/guidelines/orthopedics/049_Low_Back_Pain.txt new file mode 100644 index 0000000000000000000000000000000000000000..9206b4e9dfd752d8c427ac0dd70100f32be92ed4 --- /dev/null +++ b/data/guidelines/orthopedics/049_Low_Back_Pain.txt @@ -0,0 +1,34 @@ +Title: Plantar Fasciitis โ€” Orthopedics Guideline (49) + +Clinical Summary: +Evidence-aligned approach to plantar fasciitis in Orthopedics. 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 \ No newline at end of file diff --git a/data/guidelines/orthopedics/050_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/050_Knee_Osteoarthritis.txt new file mode 100644 index 0000000000000000000000000000000000000000..d8ed4296b3f8fec4ab0205021ef1c05568af505f --- /dev/null +++ b/data/guidelines/orthopedics/050_Knee_Osteoarthritis.txt @@ -0,0 +1,34 @@ +Title: Knee Osteoarthritis โ€” Orthopedics Guideline (50) + +Clinical Summary: +Evidence-aligned approach to knee osteoarthritis in Orthopedics. 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 \ No newline at end of file diff --git a/pages/1_Diagnostics.py b/pages/1_Diagnostics.py new file mode 100644 index 0000000000000000000000000000000000000000..283025e7ff0e508f6b16dd1e124cdb7a540c57de --- /dev/null +++ b/pages/1_Diagnostics.py @@ -0,0 +1,20 @@ +import streamlit as st, os, json, requests +st.set_page_config(page_title="Diagnostics", page_icon="๐Ÿงช", layout="wide") +st.title("๐Ÿงช Endpoint Diagnostics") +st.write("Quickly test your endpoint/token and inspect raw responses.") +endpoint = st.text_input("Endpoint", os.getenv("HF_CHAT_ENDPOINT") or os.getenv("CHAT_ENDPOINT") or "https://api-inference.huggingface.co/models/meta-llama/Llama-3.2-1B-Instruct") +token = st.text_input("HF API Token (optional; else use env)", os.getenv("HF_API_TOKEN") or "", type="password") +prompt = st.text_area("Prompt", "ping") +if st.button("Ping"): + try: + r = requests.post(endpoint, headers={"Authorization": f"Bearer {token or os.getenv('HF_API_TOKEN')}","Content-Type":"application/json"}, json={"inputs":[{"role":"user","content":prompt}]}, timeout=60) + st.subheader("Status / headers") + st.code(f"{r.status_code}\n{dict(r.headers)}") + try: + st.subheader("JSON") + st.json(r.json()) + except Exception: + st.subheader("Raw text") + st.code(r.text[:2000]) + except Exception as e: + st.error(e) diff --git a/requirements.txt b/requirements.txt index c441c57fd12e7e4ee2eb8b6fe3b001905c42e08c..98a7b3d6ea14ebf926a9730fdd9ad7a6fe8205f4 100644 --- a/requirements.txt +++ b/requirements.txt @@ -2,5 +2,6 @@ streamlit chromadb sentence-transformers langchain-text-splitters +numpy requests reportlab diff --git a/utils/constants.py b/utils/constants.py index edf4e2d9ec335f2ad96135e613aa3606949c0539..4b0485bc7811805f1db550dc18a4a1dd0183b01c 100644 --- a/utils/constants.py +++ b/utils/constants.py @@ -1,10 +1,12 @@ - CHROMA_DIR = "./data/chroma" DOCS_DIR = "./data/guidelines" COLLECTION = "med_guidelines_multispeciality" EMB_MODEL_NAME = "medicalai/ClinicalBERT" RETRIEVAL_K_DEFAULT = 5 -CHAT_ENDPOINT = "https://router.huggingface.co/models/openai/gpt-oss-120b" -MAX_RETRIES_DEFAULT = 6 -RETRY_BACKOFF_SECONDS_DEFAULT = 3 + +# Default endpoints (override in HF Space variables) +CHAT_ENDPOINT_DEFAULT = "https://api-inference.huggingface.co/models/meta-llama/Llama-3.2-1B-Instruct" +TEXTGEN_ENDPOINT_DEFAULT = "https://api-inference.huggingface.co/models/mistralai/Mixtral-8x7B-Instruct-v0.1" REQUEST_TIMEOUT_SECONDS_DEFAULT = 60 +RETRIES_DEFAULT = 6 +BACKOFF_SECONDS_DEFAULT = 3 diff --git a/utils/helpers.py b/utils/helpers.py index d7e7a34f2b4c19cc43318553492c6a26ff3901aa..5be0afab3c5c44e2977a067598b7655da46e3851 100644 --- a/utils/helpers.py +++ b/utils/helpers.py @@ -1,13 +1,11 @@ - -from typing import List,Dict - -def to_safe_items(res)->List[Dict]: - items=[] +from typing import List, Dict +def to_safe_items(res) -> List[Dict]: + items = [] if res and res.get("ids"): for i in range(len(res["ids"][0])): items.append({ - "text":res["documents"][0][i], - "title":res["metadatas"][0][i].get("title","(untitled)"), - "source":res["metadatas"][0][i].get("source",""), + "text": res["documents"][0][i], + "title": res["metadatas"][0][i].get("title","(untitled)"), + "source": res["metadatas"][0][i].get("source","") }) return items diff --git a/utils/persona.py b/utils/persona.py index 7ed9ef693c05ce19dd9ad7e9275bef8eccff99a4..85ff382fec0b1beb75d730bccbb9b0d70f5a2ae8 100644 --- a/utils/persona.py +++ b/utils/persona.py @@ -1,10 +1,9 @@ - AI_GYNO_PERSONA_V2 = """ -You are AIgyno, a multispeciality clinical assistant for doctors. - -- Provide safe, accurate, careful medical reasoning. -- Use retrieved context. -- Ask clarifying questions if uncertain. -- Provide differentials and next steps. -- Doctor review required for final diagnosis. +You are MediAssist Clinical AI (AIgyno Persona v2). +- Assist doctors (OBGYN, Internal Medicine, Orthopedics) with safe reasoning. +- Use simple language with patients; use clinical language with doctors. +- Ask 3โ€“6 targeted follow-up questions when info is insufficient. +- Provide differentials and next steps. Do not give definitive diagnoses. +- Always include red flags and escalation criteria. Cite context if available. +- Final decisions rest with the doctor. """