Use case
Instance immediate
Immediate template
Selecting the best diagnostic checks
I’m a hospitalist seeing a 62-year-old man with diabetes and power kidney illness who presents to the emergency division with fever, shortness of breath, and new confusion.
Primarily based on this presentation, define a targeted diagnostic workup and take a look at choice, together with labs, imaging, and microbiology, to judge for sepsis and attainable pneumonia, and clarify how the outcomes would information preliminary administration in an acute care hospital setting.
I’m a [clinical role, e.g., hospitalist, emergency physician, ICU fellow, NP, PA] caring for a [age]-year-old [gender] affected person with [key past medical conditions] who presents with [chief complaint(s)] and [key acute symptoms or signs] in a [care setting, e.g., emergency department, ICU].
Primarily based on this presentation, present a targeted diagnostic workup and take a look at choice utilizing [diagnostic methods, e.g., labs, imaging, microbiology] to judge for [suspected condition(s), e.g., sepsis, pneumonia, PE, stroke], and clarify how the outcomes would information [initial management, triage, or treatment decisions] in a [clinical setting].
Working by way of the differential
I’m a clinician conducting a routine medical evaluation of a 28-year-old girl presenting with unilateral knee discomfort, intermittent calf tightness, and chest wall soreness after current extended journey and elevated bodily exercise.
Generate a prioritized differential analysis and clarify how patellofemoral ache syndrome might be distinguished from muscle pressure, costochondritis, and stress-related signs utilizing historical past, bodily examination, and fundamental diagnostic analysis.
I’m a [clinical role, e.g., emergency physician, hospitalist, urgent care PA] evaluating a [age]-year-old [gender] with [chief complaint] and [key symptoms or exam findings] within the [care setting].
Generate a prioritized differential analysis for this presentation. For every analysis, clarify what options of the historical past, examination, or preliminary checks would assist or argue towards it.
Then clarify the right way to distinguish [primary suspected condition] from [alternative diagnosis #1], [alternative diagnosis #2], and [alternative diagnosis #3] utilizing bedside analysis, labs, and imaging.
Placing collectively a plan
I’m a hospitalist managing a 74-year-old girl admitted with decompensated coronary heart failure and worsening kidney perform. Present a problem-based evaluation and plan protecting quantity administration, remedy changes, and discharge planning.
I’m a [clinical role, e.g., hospitalist, ICU attending, NP, PA] managing a [age]-year-old [gender] admitted with [primary diagnosis] and [key complicating problems].
Create a problem-based evaluation and plan that features:
The pathophysiology driving every lively drawback
Diagnostics to pattern or observe
Therapeutic plan (medicines, fluids, procedures, monitoring)
Disposition and discharge planning
Spotlight how [comorbidity or complication] impacts administration and what would set off escalation or de-escalation of care.
Documenting the affected person encounter
I’m a pediatrician seeing a 3-year-old boy with fever, cough, and wheezing. Write a concise however thorough medical be aware for suspected viral bronchiolitis, together with historical past, examination, evaluation, and plan.
Format it the best way it could seem in an actual chart.
I’m a [clinical role, e.g., pediatrician, family medicine physician, resident] seeing a [age]-year-old [gender] with [chief complaint] and [key symptoms] within the [clinic / ED / hospital].
Write a concise however thorough medical be aware together with:
Historical past of current sickness
Related previous historical past and medicines
Targeted bodily examination
Evaluation with differential
Plan (diagnostics, therapy, and follow-up)
Format it the best way it could seem in an actual chart.
Counseling the affected person and setting subsequent steps
I’m an endocrinologist counseling a 60-year-old girl newly identified with kind 2 diabetes. Write patient-friendly after-visit directions protecting medicines, weight-reduction plan, glucose monitoring, and when to hunt care.
I’m a [clinical role, e.g., endocrinologist, primary care physician, nurse practitioner] counseling a [age]-year-old [gender] with [diagnosis].
Write patient-friendly after-visit directions that designate:
What the situation means
How [medications] ought to be taken
Key weight-reduction plan, life-style, and monitoring suggestions
Crimson-flag signs that ought to immediate pressing care
Use clear, non-technical language applicable for a [health-literacy level] affected person.
Safely transitioning care
I’m a hospital discharge planner coordinating look after a 72-year-old girl recovering from a hip fracture. Define how you’d talk key points to dwelling well being, bodily remedy, and the first care doctor.
I’m a [clinical role, e.g., hospital discharge planner, hospitalist, case manager] coordinating look after a [age]-year-old [gender] being discharged after [hospitalization or condition].
Define the important thing info that should be communicated to:
[receiving provider, e.g., primary care physician]
[home health or rehab service]
[specialist, if applicable]
Embody lively issues, medicines, pending checks, practical standing, and follow-up wants, formatted as a transparent handoff abstract.
Checking towards the proof
I’m a heart specialist reviewing look after a 65-year-old man with new-onset atrial fibrillation.
Summarize the present guideline-based suggestions for anticoagulation, price versus rhythm management, and stroke prevention as they apply to this affected person.
I’m a [clinical role, e.g., cardiologist, pulmonologist, hospitalist] reviewing the care of a [age]-year-old [gender] with [condition] and [key comorbidities].
Summarize the present guideline-based suggestions for:
Analysis and danger stratification
First-line and second-line therapies
Prevention of problems
Then clarify how these tips apply to this particular affected person given [relevant risk factors or constraints].
Retrieving and making use of medical references
I’m a neurologist following a 79-year-old affected person who had an ischemic stroke 2 years in the past with minimal residual deficits. At his most up-to-date go to, he reported reminiscence decline, together with dropping his cellphone, and has grow to be extra irritable. His practical standing in each day actions is generally preserved. Ought to these signs elevate suspicion for dementia, or are they extra according to regular age-related cognitive adjustments? Present a differential analysis and clarify why it’s seemingly or not.
I’m a [clinical role/specialty, e.g., neurologist, geriatrician, PCP] following a [age]-year-old [gender] affected person who had [index neurologic event/condition, e.g., ischemic stroke/TIA/ICH] [timeframe, e.g., 2 years] in the past with [degree of residual deficits, e.g., minimal residual deficits / moderate aphasia / mild hemiparesis].
At [his/her/their] most up-to-date go to, [he/she/they] reported [cognitive concern, e.g., memory decline], together with [example, e.g., losing phone/missed appointments/repeating questions], and has grow to be [behavior or mood change, e.g., more irritable / apathetic / anxious]. [His/her/their] practical standing in each day actions is [mostly preserved / mildly impaired / declining]. Ought to these signs elevate suspicion for [condition, e.g., dementia / vascular cognitive impairment / Alzheimer’s disease], or are they extra according to [normal age-related cognitive changes]? Present a differential analysis and clarify why it’s seemingly or not.
Utilizing your system to information care
Summarize the really useful preliminary analysis for brand new cognitive considerations in an older grownup with prior ischemic stroke. Use our group’s permitted pathway if obtainable and hyperlink to the related sections. Embody key purple flags, the targeted historical past/examination (together with collateral and meds), really useful screening instrument(s), baseline labs, and when imaging is indicated.
Summarize the really useful preliminary analysis for [clinical problem, e.g., new cognitive concerns / new weakness / unexplained weight loss] in a [age]-year-old [gender] with [relevant history, e.g., prior ischemic stroke, heart failure, diabetes].
Use our group’s [approved pathway / local guideline / service-line protocol] if obtainable and hyperlink to the related part or doc.
Embody key purple flags, the targeted historical past and examination (together with [collateral sources, meds, or risk factors]), really useful screening instrument(s), baseline labs, and when imaging [or specialist referral] is indicated.