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- Es Cushing Testing For Recurrence Lifelong Except Low Ct DensityThis skill recommends lifelong biochemical testing for recurrence in all patients with Cushing's syndrome after adrenalectomy, except those with resected adrenal adenoma showing CT density <10 Hounsfield units. Use when determining long‑term follow‑up strategy for a post‑adrenalectomy CS patient; triggers include “post‑adrenalectomy Cushing’s syndrome”, “CT density <10 HU”, and “adrenal adenoma resection”.Votes: 0GitHub stars: 12
- Es Cushing Suggest Rt Radiosurgery Failed Tss Recurrent CdThis skill suggests radiation therapy or radiosurgery for adult patients with Cushing's disease who have failed transsphenoidal surgery (TSS) or have recurrent disease after initial remission. Consider when postoperative urinary free cortisol or late-night salivary cortisol remains elevated, or when clinical recurrence is suspected.Votes: 0GitHub stars: 12
- Es Cushing Serum Sodium Monitoring Post TssThis skill recommends measuring serum sodium several times during the first 5–14 days after transsphenoidal surgery to detect and manage electrolyte disturbances such as postoperative hyponatremia and diabetes insipidus. Use when managing a post-TSS Cushing’s syndrome patient in the early recovery phase; triggers include postoperative day 5–10 hyponatremia, polyuria, fluid intake‑output imbalance, or suspected diabetes insipidus.Votes: 0GitHub stars: 12
- Es Cushing Pituitary Directed Medical TreatmentsThis skill suggests pituitary-directed medical treatments (e.g., cabergoline, pasireotide) for patients with Cushing's disease who are not surgical candidates or have persistent disease after transsphenoidal surgery. Use when a CD patient cannot undergo surgery or has residual disease post-TSS; triggers include "not a surgical candidate", "persistent disease after TSS", "ongoing hypercortisolism despite prior surgery".Votes: 0GitHub stars: 12
- Es Cushing Free T4 Prolactin Assessment Post SurgeryThis skill recommends obtaining serum free T4 and prolactin levels within 1–2 weeks after transsphenoidal surgery (TSS) for Cushing's syndrome to screen for overt hypopituitarism. Use in postoperative Cushing's syndrome patients during the early recovery window when evaluating for new pituitary hormone deficiencies.Votes: 0GitHub stars: 12
- Es Hcm Ugps6 Mg Phos MonitorThe guideline suggests checking serum magnesium and phosphate levels and repleting if low in patients receiving antiresorptive therapy for hypercalcemia of malignancy. Clinicians should consider this when they note electrolyte abnormalities or inquire about supportive care during bisphosphonate or denosumab treatment.Votes: 0GitHub stars: 12
- Es Hcm Ugps3 Vitamin D MonitorRecommends checking and managing vitamin D according to Endocrine Society guidelines to avoid hypocalcemia in patients receiving bisphosphonates or denosumab for hypercalcemia of malignancy. Use when a clinician notes risk factors for hypocalcemia (e.g., low 25‑OH vitamin D, renal insufficiency) and asks about baseline labs before antiresorptive start.Votes: 0GitHub stars: 12
- Es Hcm Prefer Dmab Over BpThis skill suggests using denosumab rather than an intravenous bisphosphonate for adults with hypercalcemia of malignancy. It is triggered when a clinician questions which antiresorptive to choose first or seeks guidance on drug selection for HCM.Votes: 0GitHub stars: 12
- Es Hcm Para Carcinoma Refractory Bp Dmab Add CalcimimeticThe skill suggests adding a calcimimetic for hypercalcemia of malignancy due to parathyroid carcinoma that persists after intravenous bisphosphonate or denosumab therapy. It is triggered when a clinician notes refractory HCM despite antiresorptive therapy and considers adding a calcimimetic.Votes: 0GitHub stars: 12
- Es Hcm Calcitriol High Add Bp DmabRecommends adding intravenous bisphosphonate or denosumab in adults with hypercalcemia of malignancy due to tumors with high calcitriol levels (e.g., lymphoma) who remain severe or symptomatic despite glucocorticoid therapy. Use when managing lymphoma‑related HCM on steroids and considering escalation of antiresorptive therapy.Votes: 0GitHub stars: 12
- Endo Pa Mra Over EnacRecommends using mineralocorticoid receptor antagonists rather than epithelial sodium-channel inhibitors for medical treatment of primary aldosteronism. Use when a clinician asks whether to use an MRA or ENaC inhibitor for medical treatment of PA.Votes: 0GitHub stars: 12
- Enda Monitor Pediatric GlucocorticoidThis skill outlines monitoring glucocorticoid replacement in children with primary adrenal insufficiency (PAI) using clinical assessment of growth velocity, weight, blood pressure, and energy levels. Trigger when evaluating a child with PAI for adequacy of glucocorticoid therapy during routine follow-up.Votes: 0GitHub stars: 12
- Enda Increase Hc Pregnancy Third TrimesterRecommends increasing hydrocortisone dose in pregnant patients with primary adrenal insufficiency based on individual clinical course, especially during the third trimester. Trigger phrases include "fatigue, postural hypotension, weight loss, or hyperglycemia in pregnant PAI patient" and "need for glucocorticoid dose adjustment in third trimester."Votes: 0GitHub stars: 12
- Enda Emergency Adrenal Crisis TreatmentThis skill outlines the emergency management of suspected adrenal crisis, recommending immediate parenteral hydrocortisone (100 mg adult, 50 mg/m² pediatric) plus fluid resuscitation, then 200 mg/24 h (50–100 mg/m²/24 h pediatric) hydrocortisone. Trigger when patient presents with hypotension, hyponatremia, hyperkalemia, or unexplained shock suggestive of adrenal insufficiency.Votes: 0GitHub stars: 12
- Ata Minor Moderate Stress HcSuggests administering 25-75 mg hydrocortisone per 24 hours for 1-2 days in patients with adrenal insufficiency undergoing minor to moderate surgical stress. Triggers include patient undergoing minor to moderate surgery with known or suspected adrenal insufficiency.Votes: 0GitHub stars: 12
- Ata Lowest Tolerable HcRecommends using the lowest tolerable hydrocortisone dose to potentially decrease risks of metabolic and cardiovascular disease in central adrenal insufficiency. Triggers include managing a patient with central adrenal insufficiency requiring glucocorticoid replacement.Votes: 0GitHub stars: 12
- Ata Hpa Axis Gh MonitoringSuggests testing HPA axis functionality before and after starting GH replacement in patients not receiving glucocorticoid replacement with apparently normal pituitary-adrenal function. Triggers include initiating GH replacement in a GHD patient who is not on glucocorticoids and has normal adrenal function.Votes: 0GitHub stars: 12
- Ata Aed Lt4 MonitoringIn central hypothyroidism patients receiving levothyroxine who initiate enzyme‑inducing antiepileptic drugs, the guideline recommends checking free T4 at least 6 weeks after AED start and increasing the levothyroxine dose if free T4 falls below the target range. Triggers include: central hypothyroidism patient on levothyroxine starting antiepileptic drug such as phenytoin, carbamazepine, or oxcarbazepine.Votes: 0GitHub stars: 12
- Release Cli发布 harness9 CLI 新版本。接受可选的 version 参数；若未提供，则自动将当前最新 tag 的 patch 号加 1。执行：切换到 master、拉取最新代码、创建 tag、推送 tag 触发 GoReleaser，并基于两个 tag 之间的提交生成详细、结构化的 Release Note 覆盖 GitHub Release 默认说明。Votes: 0GitHub stars: 141
- Token Efficiency AuditThree-layer token defense stack — audit current settings, apply safe/CI levers, and monitor statusVotes: 0GitHub stars: 43
- Skills Sh SearchSearch and install skills from skills.sh marketplace when internal skills are insufficientVotes: 0GitHub stars: 43
- PipelineInvoke and resume YAML-defined pipelines by name — /pipeline auto-dev runs the full release pipelineVotes: 0GitHub stars: 43
- Monitoring SetupEnable/disable OpenTelemetry console monitoring for Claude Code usage trackingVotes: 0GitHub stars: 43
- Docker Best PracticesDocker patterns for optimized containerizationVotes: 0GitHub stars: 43