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Showing 9,841–9,864 of 20,289 skills
- Endo Oc Vs InjectableSuggests oral contraceptives over injectable contraceptives for women with BMI ≥27 kg/m2 with comorbidities or BMI ≥30 kg/m2 seeking contraception, provided they are well‑informed and oral contraceptives are not contraindicated. Triggers include clinician questions such as “Which contraceptive method is less likely to cause weight gain in this obese patient?” or “Should I recommend oral pills instead of depot injection for this patient with BMI 29 and hypertension?”.Votes: 0GitHub stars: 12
- Endo Hirsutism Add Antiandrogen After 6monthsThis skill guides clinicians to add an antiandrogen after six months of monotherapy with an oral contraceptive when patient‑important hirsutism shows an inadequate response. Trigger phrases include “patient‑important hirsutism”, “6 months of OC monotherapy”, and “suboptimal hirsutism response”.Votes: 0GitHub stars: 12
- Endo Fha Fertility Gonadotropin Therapy CautiousThis skill advises exercising caution when using gonadotropin therapy (FSH/LH) for ovulation induction in patients with functional hypothalamic amenorrhea (FHA), particularly monitoring for ovarian hyperresponse and multiple gestations. It is triggered when a clinician states, “We’ll use gonadotropins but watch for overstimulation,” or phrases such as “Use gonadotropins cautiously” or “Monitor estradiol and follicle count during gonadotropin therapy”.Votes: 0GitHub stars: 12
- Noveltreat Storage HandlingStorage, handling, and disposal of the Noveltreat pre-filled semaglutide injection pen (0.25 / 0.5 / 1 / 2.4 mg, Sun Pharma) — fridge rules, 28-day out-of-fridge limit, single-use, pen-lock mechanism, light and freeze precautions, biomedical-waste disposal. Use when a clinician, pharmacist, or patient asks how to store Noveltreat, whether the pen can be kept outside the fridge, how long Noveltreat is stable at room temperature, how to dispose of a used Noveltreat pen, or what to do with an ac...Votes: 0GitHub stars: 12
- Mounjaro Prescribing GuideBedside prescribing reference for Mounjaro (tirzepatide) — indications, dose escalation, missed-dose rule, KwikPen vs prefilled pen differences, contraindications, warnings, storage, and monitoring. Use when a clinician asks how to start tirzepatide, how to titrate Mounjaro, how to handle a missed weekly dose, Mounjaro storage, Mounjaro contraindications, Mounjaro pregnancy/MTC warnings, or needs a quick Mounjaro monograph lookup. Grounded in the Canadian Product Monograph (Eli Lilly Canada, ...Votes: 0GitHub stars: 12
- Glp1 Pancreatobiliary Risk MonitorAssess and monitor pancreatobiliary risk (acute pancreatitis, cholelithiasis, cholecystitis, lipase/amylase elevations) in patients on GLP-1 receptor agonists. Use when a clinician asks about gallstone risk on semaglutide/liraglutide/tirzepatide, "GLP-1 and pancreatitis", lipase elevation interpretation, prophylactic ursodeoxycholic acid, or whether to start a GLP-1 in a patient with prior pancreatitis or gallbladder disease. Grounded in Gorgojo-Martínez 2023 §5.Votes: 0GitHub stars: 12
- Es Monitor Prolactin Transgender FemaleThis skill indicates the need for periodic prolactin monitoring in transgender females undergoing estrogen therapy. Clinical triggers include a transgender female patient receiving estrogen treatment.Votes: 0GitHub stars: 12
- Es Follow Transgender Male MonitoringProvides monitoring schedule for transgender males on testosterone therapy, detailing timing of clinical visits, laboratory tests, and assessment for virilization and adverse reactions. It is triggered when a clinician manages a transgender male patient on gender‑affirming hormone therapy and needs to schedule appropriate follow‑up.Votes: 0GitHub stars: 12
- Es Follow Sex Hormone Induction MonitoringProvides schedule for monitoring during sex hormone induction. Trigger: patient initiating gender-affirming hormone therapy (GAHT).Votes: 0GitHub stars: 12
- Es Check Bmd IndicationDetermines whether bone mineral density (BMD) measurement is indicated when patients have osteoporosis risk factors or have discontinued sex hormone therapy following gonadectomy. Clinical triggers include documented osteoporosis risk factors (e.g., low body weight, glucocorticoid use, prior fracture) or cessation of sex hormone therapy after surgical gonadectomy.Votes: 0GitHub stars: 12
- Es Cgm Contraindication CheckThis skill checks for contraindications or sources of inaccuracy that may affect continuous glucose monitoring (CGM) reliability in hospitalized adults. It is triggered when clinicians ask, “Are there factors that could make CGM unreliable?” or when assessing for skin infection, hypoperfusion, hypovolemia, vasoactive/pressor therapy, or medications such as acetaminophen >4 g/day, dopamine, vitamin C, or hydroxyurea.Votes: 0GitHub stars: 12
- Endo Rtcgm Recommend T1dm Above TargetRecommends real-time continuous glucose monitoring (RT-CGM) for adult patients with type 1 diabetes mellitus (T1DM) whose hemoglobin A1C is above individualized target. Consider when clinician notes 'T1DM A1C above goal, consider RT-CGM' or 'Patient willing to wear CGM daily, A1C elevated'.Votes: 0GitHub stars: 12
- Endo Rtcgm Adip Vs Mdis Smbg T1dThe skill suggests using real-time continuous glucose monitoring (CGM) combined with algorithm-driven insulin pumps (ADIPs) rather than multiple daily injections (MDIs) with self-monitoring of blood glucose (SMBG) three or more times daily for adults and children with type 1 diabetes (T1D) to lower hypoglycemia incidence. Clinical triggers include discussions about insulin pump therapy, CGM use, or reducing hypoglycemia in T1D patients on intensive insulin regimens.Votes: 0GitHub stars: 12
- Endo Discontinue Csii Assess New Mdi Insulin PlanThis skill reassesses the insulin plan when discontinuing continuous subcutaneous insulin infusion (CSII) and transitioning to multiple daily injections (MDI). It is triggered by phrases such as 'Review planned basal-bolus regimen after pump' and 'Confirm MDI dose calculations and schedule'.Votes: 0GitHub stars: 12
- Endo Cgm Confirmatory Pocbg High Risk HypoglycemiaRecommends real-time CGM with confirmatory bedside POC-BG monitoring for insulin dosing adjustments rather than POC-BG testing alone in adults with insulin-treated diabetes at high risk of hypoglycemia. Consider this approach for patients aged ≥65 years, BMI ≤27 kg/m², total daily insulin dose ≥0.6 units/kg, CKD stage ≥3, or recent hypoglycemia.Votes: 0GitHub stars: 12
- Endo Bolus Calculator Use EncourageSuggests encouraging patients to use appropriately adjusted embedded bolus calculators in CSII and to provide education regarding their use and limitations. Triggers include: 'Patient starting pump, discuss bolus calculator', 'Review bolus calculator education at pump initiation'.Votes: 0GitHub stars: 12
- Endo Assess Hypoglycemia Prevention Detection TreatmentAssesses the patient’s ability to prevent, detect, and treat hypoglycemia, including recognition of symptoms, appropriate carbohydrate treatment, and use of emergency glucagon. Triggered when clinicians review the hypoglycemia action plan or check whether the patient recognizes low symptoms and treatment steps.Votes: 0GitHub stars: 12
- Endo Assess Emergency SuppliesAssesses whether the patient has emergency supplies such as glucagon, ketone strips, and backup insulin readily available. Triggered when clinicians verify the patient carries a glucagon kit or ensure backup insulin and supplies are accessible.Votes: 0GitHub stars: 12
- Endo Assess Cgm Alarms SettingsAssesses that CGM low- and high-glucose alarm thresholds are individualized to optimize patient benefit and minimize alarm fatigue. Triggered by clinician prompts to 'Review low-glucose alarm thresholds' or 'Ensure alarms are individualized and not excessive'.Votes: 0GitHub stars: 12
- Endo Annual Reassess Cgm Trend Insulin AdjustReassesses annually the patient’s ability to use CGM trend information to adjust insulin doses. Triggered by yearly CGM skills check or annual review of trend-based dosing competence.Votes: 0GitHub stars: 12
- Pdm Cgm TargetsThis skill advises against using a single 24-hour CGM target <140 mg/dL when managing glucose in pregnancy for patients with preexisting diabetes. Trigger when a clinician is determining CGM-based glucose targets for pregnant individuals with type 1 or type 2 diabetes.Votes: 0GitHub stars: 12
- Pdm Carbohydrate IntakeGuidance for clinicians managing pregnant individuals with preexisting diabetes mellitus (PDM) who are evaluating daily carbohydrate intake; consider a carbohydrate-restricted diet (<175 g/day) or usual diet (>175 g/day) based on patient factors. Trigger when assessing nutrition in pregnancy for PDM, especially when discussing glycemic targets, weight gain, or fetal growth concerns.Votes: 0GitHub stars: 12
- Es Cushing Vte Risk Factor EvaluationThis skill guides evaluation of venous thromboembolism (VTE) risk factors in Cushing's syndrome patients to prevent thrombotic complications. Use when assessing a CS patient for thrombotic risk, especially perioperatively; triggers include preoperative assessment, postoperative period (within 4-6 weeks), or presence of CS with additional risk factors such as prior VTE, immobilization, malignancy, or estrogen use.Votes: 0GitHub stars: 12
- Es Cushing Tss Experienced Pituitary SurgeonThis skill recommends transsphenoidal selective adenomectomy (TSS) by an experienced pituitary surgeon as the optimal treatment for Cushing's disease in pediatric and adult patients. Use when a patient with ACTH-dependent Cushing syndrome is a surgical candidate; triggers include overt Cushing's syndrome, elevated UFC or late-night salivary cortisol, and pituitary MRI showing an adenoma.Votes: 0GitHub stars: 12