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Showing 529–552 of 2,399 skills
- Endo Against 25ohd Test Healthy AdultsThe Endocrine Society guideline recommends against routine 25(OH)D testing in asymptomatic adults without established indications for vitamin D assessment. Trigger when a clinician considers ordering a 25(OH)D level for a healthy adult with no symptoms of deficiency and no clinical indications such as hypocalcemia, malabsorption, or osteoporosis.Votes: 0GitHub stars: 12
- Es Acthd Screening IndicationThis skill identifies childhood cancer survivors who require lifelong annual screening for adrenocorticotropic hormone deficiency (ACTHD) based on hypothalamic-pituitary tumor history or radiation exposure ≥30 Gy. It is triggered by clinician questions such as “Does this survivor need yearly ACTH/cortisol testing?” or “Is annual adrenal function screening indicated post‑HP radiation?”Votes: 0GitHub stars: 12
- Endo Preop Srl Severe Pharyngeal Sleepapnea HfThis skill suggests preoperative somatostatin receptor ligand (SRL) therapy to reduce anesthetic risk in acromegaly patients with severe pharyngeal thickness, obstructive sleep apnea, or high-output heart failure. It is triggered when assessing preoperative risk before transsphenoidal surgery and phrases like "severe pharyngeal thickening", "sleep apnea syndrome", or "high-output heart failure" are identified.Votes: 0GitHub stars: 12
- Ppgl Genetic Testing IndicationDetermines when to suggest genetic testing for PPGL and educates patients about hereditary PPGL prevalence and testing significance, recommending testing for all PPGL patients per international guidelines while informing about the 20-40% hereditary rate and implications for family screening. Triggers include: 'Newly diagnosed PPGL patient,' 'Discussing hereditary risk with PPGL patient,' 'Considering genetic testing for PPGL patient and family.'Votes: 0GitHub stars: 12
- Pediatric Obesity Surgical ScreenerScreen a child aged 13+ with obesity for eligibility for bariatric surgery (laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass) using the CMAJ 2025 guideline. Trigger when a clinician asks whether a child qualifies for weight loss surgery, bariatric surgery in adolescents, sleeve gastrectomy in a teenager, or when to refer for surgical management of pediatric obesity.Votes: 0GitHub stars: 12
- Pediatric Obesity Intervention SelectorSelect the right treatment tier for a child with obesity — behavioural, pharmacologic, or surgical — using the CMAJ 2025 pediatric obesity guideline. Trigger when a clinician asks what to do for a child with obesity, which intervention to start, whether to escalate treatment, or when to consider medication or surgery for pediatric obesity.Votes: 0GitHub stars: 12
- Pediatric Obesity ConsultationGuide a non-stigmatising pediatric obesity consultation using the 5As framework (Ask, Assess, Advise, Agree, Assist) and 4Ms assessment (Metabolic, Mechanical, Mental Health, Social Milieu), based on the CMAJ 2025 guideline. Trigger when a clinician asks how to approach a weight conversation with a child or family, how to use the 5As for obesity, how to assess a child with obesity, or how to conduct a non-judgmental obesity visit.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Triglycerides 10 19 YearsInterprets fasting triglyceride levels to screen for dyslipidemia in overweight or obese children aged 10-19 years. Triggered by pediatric obesity screening, fasting lipid panel, or BMI ≥85th percentile with clinical concern for dyslipidemia.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Triglycerides 0 9 YearsInterprets fasting triglyceride levels to screen for dyslipidemia in children aged 0–9 years during obesity evaluation. Triggered by BMI ≥85th percentile, well-child visit, or concern for metabolic comorbidity.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Total Cholesterol InterpretationThis skill interprets fasting total cholesterol levels to screen for dyslipidemia in children and adolescents undergoing obesity evaluation. Triggered by pediatric obesity screening (BMI ≥85th percentile) or dyslipidemia evaluation, it classifies cholesterol as acceptable (<170 mg/dL), borderline high (170‑199 mg/dL), or high (≥200 mg/dL) per Endocrine Society guidelines.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Screen TimeRecommends limiting non-academic screen time to 1-2 hours per day and decreasing other sedentary behaviors. Trigger phrases include "excessive screen time," "digital activities," and "sedentary behaviors."Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Rearing PatternsThis skill guides clinicians to identify maladaptive rearing patterns related to diet, activity, and screen time in pediatric patients with overweight or obesity. It prompts evaluation of screen time, dietary habits, physical activity, and family eating cues to target education on healthy food and exercise habits.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Psychosocial EvalThis skill guides clinicians to evaluate for psychosocial comorbidities in pediatric obesity and to initiate assessment/counseling when psychosocial problems are suspected. Trigger phrases include family dysfunction, stressors, bullying, low self-esteem, depression, anxiety, eating disorders, or substance abuse.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Ogtt Glucose InterpretationInterprets the 2-hour plasma glucose from an oral glucose tolerance test (OGTT) to screen for prediabetes and diabetes in children and adolescents with overweight or obesity. Uses thresholds of <140 mg/dL (normal), 140–199 mg/dL (impaired glucose tolerance, IGT), and ≥200 mg/dL (diabetes) per ADA criteria referenced in the guideline.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Healthy EatingPrescribes specific healthy eating habits for pediatric obesity prevention and treatment, focusing on avoiding calorie-dense nutrient-poor foods and encouraging whole fruits over juice. Trigger phrases include well-child visit, BMI ≥85th percentile, excessive juice intake, frequent fast food or sugary beverage consumption.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Hdl InterpretationInterprets HDL cholesterol levels to screen for dyslipidemia in pediatric patients using thresholds of <40 mg/dL low, 40–45 mg/dL borderline low, and ≥45 mg/dL acceptable. Triggered during lipid panel review for overweight or obese children (BMI ≥85th percentile) or when evaluating for cardiometabolic risk.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Bp InterpretationThis skill interprets blood pressure using age-, sex-, and height-specific percentile norms to screen for prehypertension and hypertension in pediatric patients. Trigger phrases include BP ≥90th to <95th percentile = prehypertension and BP ≥95th percentile = stage 1 hypertension (with age‑specific adjustments).Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Bmi MonitoringThe skill calculates, plots, and reviews a child's BMI percentile at least once per year during well-child or sick-child visits. It triggers when a pediatric patient presents for routine health supervision or acute care, prompting BMI assessment and longitudinal tracking.Votes: 0GitHub stars: 12
- Eso Pediatric Obesity Bariatric Surgery EligibilityAssesses eligibility for bariatric surgery in adolescents with obesity. Trigger phrases include Tanner 4-5 pubertal development, BMI ≥40 kg/m2 or BMI ≥35 kg/m2 with significant comorbidities, failed lifestyle modification, and need for psychological stability.Votes: 0GitHub stars: 12
- Endo Monitor Weight Waist ArtRecommends regular monitoring of weight and waist circumference in patients receiving antiretroviral therapy due to unavoidable weight gain, redistribution, and associated cardiovascular risk. Triggered when a clinician asks, 'How often should I check weight and waist in this patient on ART?' or 'What parameters should I track to detect ART‑related weight changes?'Votes: 0GitHub stars: 12
- Endo Lifestyle Mod Bmi25Recommends that diet, exercise, and behavioral modification be included in all obesity management approaches for patients with a BMI of 25 kg/m2 or higher. Triggered when clinicians ask, 'What foundational non-pharmacologic therapy should I start for this overweight patient?' or 'Should I initiate lifestyle changes for a patient with BMI 26?'.Votes: 0GitHub stars: 12
- Endo Statin Therapy T2d Cv Risk FactorsRecommends statin therapy in addition to lifestyle modification to reduce cardiovascular risk in adults with type 2 diabetes and additional cardiovascular risk factors such as hypertension, dyslipidemia, smoking, or family history of premature ASCVD. Use when managing a patient with type 2 diabetes who has concomitant hypertension, LDL‑C >70 mg/dL, or other risk‑enhancing factors.Votes: 0GitHub stars: 12
- Endo Statin Therapy T1d Age Duration ComplicationsThis skill suggests statin therapy, irrespective of cardiovascular risk score, to reduce cardiovascular risk in adults with type 1 diabetes who are age 40 years or older, have diabetes duration >20 years, or have microvascular complications. Clinical triggers include: 'T1D patient age 40+', 'T1D with diabetes duration >20 years', 'T1D with microvascular complications'.Votes: 0GitHub stars: 12
- Endo Statin Therapy Postmenopausal Women Hormone Therapy Cvd Risk FactorsRecommends statin therapy to reduce cardiovascular risk in postmenopausal women on hormone therapy who have additional cardiovascular risk factors. Trigger phrases include: "Postmenopausal woman on HRT with CVD risk factors", "Assessing statin need in hormone-treated menopause", "Evaluating cardiovascular protection in hormone therapy users".Votes: 0GitHub stars: 12