Documentation

Docs, README files, API references, tutorials, specs, and changelogs

skills in category: 16,077
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Ppgl Partial Adrenalectomy IndicationAThis skill assesses whether partial adrenalectomy is indicated for pheochromocytoma and paraganglioma (PPGL) to preserve adrenal function in patients with familial PPGL syndrome, imaging showing bilateral adrenal tumors or high-risk genetics, or young PPGL patients desiring adrenal function preservation. Indication is considered for familial PCC, tumors ≤5 cm, or high risk of future contralateral adrenal lesions, requiring surgical expertise and informed consent regarding recurrence risk.documentationrailstestingVotes: 0GitHub stars: 12
Ata Ppgl Genetic Testing IndicationAIndicates and performs genetic testing for pheochromocytoma and paraganglioma when a clinician questions whether to order testing for a PPGL patient, using triggers such as any PPGL diagnosis, family history of PPGL, young age at onset (<50 years), bilateral adrenal tumors, or extra-adrenal (paraganglioma) location. It guides collection of detailed family and medical history, considers SDHB testing for high metastatic risk (35–75%), informs patients about hereditary PPGL significance, and rec...documentationgorailsVotes: 0GitHub stars: 12
Ata Pediatric Ppgl ApproachAInvestigates for pheochromocytoma and paraganglioma in children presenting with hypertension plus symptoms such as headache, excessive sweating, or palpitations. Notes the absence of pediatric reference values for endocrine tests and selects tumor resection as first-line treatment when triggered by pediatric hypertension with associated symptoms like headache or excessive sweating.documentationgorailsVotes: 0GitHub stars: 12
Eso Pediatric Obesity Non Hdl InterpretationAWe need to output a SKILL.md file with the specified format.documentationrailsVotes: 0GitHub stars: 12
Endo Sdm AntipsychoticARecommends using weight‑neutral antipsychotic alternatives when possible and employing shared decision‑making that provides quantitative estimates of expected weight effect to guide drug choice. Triggered when a clinician asks, “How do I involve this patient in choosing an antipsychotic with minimal weight gain?” or “What resources show weight‑change projections for risperidone vs aripiprazole?”.documentationgorailsVotes: 0GitHub stars: 12
Endo Sdm AntidepressantARecommends a shared decision‑making process that provides patients with quantitative estimates of the expected weight effect of antidepressants to inform drug choice, also considering expected treatment length. Triggers include clinician questions such as ‘How should I discuss weight‑change risks with this patient starting an antidepressant?’ or ‘What tool can I use to show expected weight impact of sertraline vs bupropion?’.documentationgoexpressVotes: 0GitHub stars: 12
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Endo Paget Retreatment Interval BisphosphonateAThis skill determines the appropriate retreatment interval for bisphosphonate therapy in Paget's disease based on drug-specific remission duration. It is triggered when planning long-term management after an initial bisphosphonate course, considering retreatment for zoledronate (seldom within 5 years), alendronate (maybe 2–6 years), or risedronate (maybe 1–5 years).documentationgorailsVotes: 0GitHub stars: 12
Endo Paget Remission Target TurnoverASuggests reducing bone turnover below the midpoint of the reference range for the chosen monitoring bone turnover marker to maximize the duration of remission. Triggered when aiming to sustain long-term remission after treatment and the marker exceeds the midpoint.documentationrailsVotes: 0GitHub stars: 12
Endo Paget Monostotic Activity AssessmentAAssesses biochemical activity in untreated monostotic Paget's disease by measuring P1NP or BSAP and CTx or NTx when scintigraphy shows disease activity despite normal total alkaline phosphatase. Triggered when evaluating disease activity in patients with suspected or confirmed monostotic (single‑site) Paget's disease.documentationgorailsVotes: 0GitHub stars: 12
Ata Lt4 Overreplacement FractureAMonitors levothyroxine (L-T4) replacement in hypopituitarism to prevent over-replacement and associated fracture risk. Triggered when managing L-T4 therapy, especially when levothyroxine dose adjustment is needed to avoid overdose.documentationrailsVotes: 0GitHub stars: 12
Endo Statin Therapy T1d Obesity High Tg Low HdlASuggests statin therapy, irrespective of the cardiovascular risk score, to reduce cardiovascular risk in adults with type 1 diabetes who have obesity or who have high triglycerides and low HDL-C. Clinical triggers include "T1D patient with obesity", "T1D with high TG and low HDL-C", and "Assessing statin need in T1D with metabolic syndrome features".documentationrailsVotes: 0GitHub stars: 12
Endo Statin Considerations Over 75 YearsAAdvises that continuation or initiation of statin treatment in patients over 75 years depends on atherosclerotic cardiovascular disease risk, prognosis, potential interacting medications, polypharmacy, mental health, and patient wishes. Common clinical triggers for using this skill are 'Elderly patient needing statin assessment', 'Statins in octogenarian with lipid disorder', and 'Balancing risks/benefits of statin in advanced age'.documentationgorailsVotes: 0GitHub stars: 12
Endo Cac Screening Borderline Intermediate RiskASuggests measuring coronary artery calcium to inform shared decision-making when statin treatment decisions are uncertain in adults with endocrine disorders at borderline or intermediate ASCVD risk. Triggers include patient has 10-year ASCVD risk between 5-19.9%, uncertain about statin initiation, and borderline or intermediate cardiovascular risk.documentationrailsVotes: 0GitHub stars: 12
Es Long Acting Analog Vs Nph Basal InsulinASuggests long-acting insulin analogs over human NPH insulin for basal insulin therapy in adult and pediatric outpatients at high risk for hypoglycemia. Trigger phrases include “Should I use long-acting analogs or NPH for basal insulin in this high‑risk patient?” or “Is long‑acting analog insulin preferred for this patient?”.documentationgorailsVotes: 0GitHub stars: 12
Es Cc Outpatient PreferenceAThis skill determines whether a patient performs carbohydrate counting in the outpatient setting, including insulin-treated type 2 diabetes, and may prefer to continue this method during hospitalization. Clinical triggers include questions such as "Patient uses carb counting at home, should we allow continuation in hospital?"documentationrailsVotes: 0GitHub stars: 12
Endo Nph Bbi Glucocorticoid HyperglycemiaASuggests glycemic management with either NPH-based insulin or basal bolus insulin regimens for adults experiencing hyperglycemia while receiving glucocorticoids in noncritical illness. Triggers include hyperglycemia during glucocorticoid therapy such as prednisone or methylprednisolone.documentationrailsapiVotes: 0GitHub stars: 12
Endo No Preoperative Cho Oral FluidsARecommends avoiding carbohydrate‑containing oral fluids preoperatively in adults with type 1, type 2, or other diabetes undergoing elective surgery. Consider when a clinician questions preoperative fluids for a diabetic patient, especially if orders include clear liquids or carbohydrate drinks.documentationgorailsVotes: 0GitHub stars: 12
Endo Dpp4i Correction Insulin Vs Scheduled Insulin Select T2dARecommends either a dipeptidyl peptidase-4 inhibitor with correction insulin or scheduled insulin therapy for select adult patients with mild hyperglycemia and type 2 diabetes hospitalized for noncritical illness. Consider when HbA1c <7.5%, blood glucose <180 mg/dL, and total daily insulin dose <0.6 units/kg if previously on insulin.documentationrailsapiVotes: 0GitHub stars: 12
Icsm Treat Symptomatic Low TtARecommends initiating testosterone therapy in symptomatic men with total testosterone less than 12 nmol/L (350 ng/dL). Triggers when patients present with low libido, erectile dysfunction, fatigue, or decreased vigor and have confirmed low T levels.documentationgorailsVotes: 0GitHub stars: 12
Icsm Target Mid Normal TestosteroneAAims to correct serum total testosterone to the mid-normal reference range for young men during testosterone therapy. Triggers when a clinician monitors treatment and wonders what testosterone level should I aim for or is the patient's T in the target zone.documentationgorailsVotes: 0GitHub stars: 12
Icsm Consider Tt Active Surveillance Accept RiskAConsiders offering testosterone therapy to men on active surveillance for low-grade prostate cancer when both clinician and patient acknowledge the limited data on cancer progression risk. Triggered when managing a man with low-grade prostate cancer and low testosterone who questions whether testosterone can be used while monitoring the cancer.documentationgorailsVotes: 0GitHub stars: 12
Icsm Calculate Free Testosterone VermeulenAProvides a practical algorithm to estimate free testosterone from total testosterone, SHBG, and albumin using the Vermeulen equation for clinical use when direct measurement is unavailable. Triggers when a clinician needs to assess bioavailable testosterone and asks "how do I calculate free T?" or "what free T value corresponds to this total T and SHBG?"documentationgorailsVotes: 0GitHub stars: 12
Endo Hsd T TrialASuggests a 3- to 6‑month trial of testosterone dosing to achieve a mid‑normal premenopausal value in a reference assay for postmenopausal women with properly diagnosed HSDD and no contraindications. Triggered when a postmenopausal woman requests therapy for low sexual desire after appropriate HSDD workup and exclusion of contraindications.documentationrailsapiVotes: 0GitHub stars: 12
Endo Hirsutism Photoepilation Dark Hair Electrolysis LightAThis skill guides clinicians to select photoepilation for patients with dark (auburn/brown/black) terminal hair and electrolysis for those with light (blonde/white) hair when considering direct hair removal for hirsutism. Trigger phrases include "patient-important hirsutism despite cosmetic measures," "dark facial hair," "light facial hair," and desire for permanent hair reduction.documentationgorailsVotes: 0GitHub stars: 12