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- Endo Statin Rather Than Hormone Therapy Postmenopausal WomenThe guideline recommends statin therapy over hormone therapy for dyslipidemia management in postmenopausal women. Consider this approach when encountering a postmenopausal woman with dyslipidemia, choosing between statin and hormone therapy, or assessing first-line lipid treatment in menopause.Votes: 0GitHub stars: 12
- Endo Re Evaluate Lipid Panel After Euthyroid HyperthyroidismRecommends re-evaluating the lipid panel after a hyperthyroid patient becomes euthyroid, as LDL-C changes can appear as early as 3 months post-euthyroid. Trigger phrases include "Hyperthyroid patient becoming euthyroid", "Assessing lipid changes after thyroid treatment", "Lipid panel follow-up in thyroid disease management".Votes: 0GitHub stars: 12
- Endo Monitor Lipid Profile Cushing Syndrome DyslipidemiaRecommends monitoring the lipid profile at diagnosis and periodically thereafter to identify dyslipidemia in adult patients with Cushing syndrome. Triggered by phrases such as "Patient diagnosed with Cushing syndrome", "Assessing for lipid abnormalities in endocrine disorder", or "Screening for dyslipidemia in cortisol excess".Votes: 0GitHub stars: 12
- Endo High Intensity Statin Selection Ascvd Risk FactorsRecommends choosing high-intensity statins in patients with atherosclerotic cardiovascular disease, or those with risk factors for atherosclerotic cardiovascular disease or risk-enhancing factors. Trigger phrases include: "Patient with established ASCVD", "Assessing need for high-intensity statin in high-risk patient", "Selecting statin intensity based on risk profile".Votes: 0GitHub stars: 12
- Endo Consider Thyroxine Treatment Sch HyperlipidemiaSuggests considering thyroxine treatment to reduce LDL-C in patients with subclinical hypothyroidism (TSH <10 mIU/L) and associated hyperlipidemia. Trigger phrases include "Patient with SCH and hyperlipidemia", "TSH between 4-10 mIU/L with elevated lipids", "Considering thyroid treatment for lipid abnormality in mild hypothyroidism".Votes: 0GitHub stars: 12
- Endo Assess Treat Lipids Growth Hormone Deficiency HypopituitarismSuggests assessment and treatment of lipids and other cardiovascular risk factors in adults with growth hormone deficiency associated with hypopituitarism. Trigger phrases include: "GHD with hypopituitarism needing lipid management", "Assessing cardiovascular risk in combined pituitary hormone deficiency", "Lipid evaluation in GHD-hypopituitarism".Votes: 0GitHub stars: 12
- Es Structured Education Vs Unstructured Advice Insulin TreatedRecommends structured diabetes education with follow-up over unstructured advice for insulin-treated type 1 or type 2 diabetes outpatients at high risk for hypoglycemia. Trigger phrases include "Should I provide structured diabetes education or unstructured advice for this insulin-treated patient at high risk for hypoglycemia?" and "Is formal education indicated for this patient?"Votes: 0GitHub stars: 12
- Es Initiate Scheduled Insulin Admission Bg Ge 180Suggest initiation of scheduled insulin therapy for patients with confirmed admission blood glucose ≥180 mg/dL (≥10.0 mmol/L). Triggered by clinician language such as “Admission BG confirmed ≥180, should we start scheduled insulin?”Votes: 0GitHub stars: 12
- Es Ghc Nph Bbi ChoiceSelect either NPH-based insulin regimen or basal bolus insulin regimen for glycemic management in patients receiving glucocorticoids. Triggered by clinician questions such as "Which insulin regimen should we use for steroid-induced hyperglycemia?"Votes: 0GitHub stars: 12
- Es Discharge Planning ComponentsThis skill outlines the core components to include in comprehensive diabetes discharge planning for hospitalized adults. It is triggered by questions such as "What should be included in diabetes discharge planning?" and ensures education on survival skills, referral for outpatient DSMES, follow-up scheduling, and medication/supply access.Votes: 0GitHub stars: 12
- Es Cc Policy ExpertiseThis skill ensures the hospital has a policy to guide carbohydrate counting for prandial insulin dosing and confirms availability of healthcare professionals knowledgeable in diabetes management. It is triggered when clinicians ask, "Do we have a hospital policy and expertise for carbohydrate counting?" to standardize insulin dosing and improve glycemic safety.Votes: 0GitHub stars: 12
- Endo Structured Patient Education Vs Unstructured Advice Insulin Therapy High RiskRecommends a structured patient education program with follow-up over unstructured advice for insulin-treated adults and children at high hypoglycemia risk (e.g., history of severe hypoglycemia, impaired awareness of hypoglycemia, or renal/hepatic dysfunction) to reduce severe hypoglycemia episodes. Use when planning diabetes education, addressing hypoglycemia fear, or after recurrent hypoglycemia events to guide choice of structured versus unstructured counseling.Votes: 0GitHub stars: 12
- Endo Nph Bbi Enteral Nutrition HyperglycemiaRecommends neutral protamine Hagedorn–based or basal bolus insulin regimens for managing hyperglycemia in adults receiving enteral nutrition with diabetes-specific or nonspecific formulations during noncritical illness. Trigger phrases include hyperglycemia noted during enteral nutrition therapy, hyperglycemia on tube feeding, or enteral nutrition–associated hyperglycemia in a patient on PEG or NG tube.Votes: 0GitHub stars: 12
- Endo Basal Insulin FirstlineRecommends basal insulin as the first‑line insulin regimen for obese patients with type 2 diabetes who require insulin, preferring it over insulin alone or insulin combined with a sulfonylurea to limit weight gain. Clinical triggers include questions such as “Which insulin regimen should I start for this obese patient with T2DM requiring insulin?” or “Is basal insulin preferred over premixed insulin in this patient?”.Votes: 0GitHub stars: 12
- Endo T Generalized Use AgainstThe guideline recommends against generalized testosterone use for indications such as infertility, sexual dysfunction other than HSDD, cognitive, cardiovascular, metabolic, bone health, or general well-being due to insufficient evidence of benefit and lacking long-term safety data. Consider this recommendation when a clinician contemplates prescribing testosterone for any indication other than confirmed hypoactive sexual desire disorder in postmenopausal women.Votes: 0GitHub stars: 12
- Endo Hirsutism Low Dose Oc Vte RiskThis skill guides selection of a low‑dose estrogen oral contraceptive combined with a low‑risk progestin for premenopausal women with hirsutism who are at increased venous thromboembolism risk (e.g., obesity or age >39 years). It triggers when a patient presents with patient‑important hirsutism requiring pharmacologic therapy and has VTE risk factors without estrogen contraindications.Votes: 0GitHub stars: 12
- Endo Fha Short Term Transdermal E2 ProgestinThis skill recommends a short course of transdermal estradiol combined with cyclic oral progestin (not oral contraceptives) for adolescents and women with functional hypothalamic amenorrhea who have not resumed menses after a reasonable trial of nutritional, psychological, and/or modified exercise interventions. It is triggered when a clinician states, 'She’s tried diet and CBT but still no periods—let’s try transdermal E2,' or similar phrases such as 'Consider transdermal estrogen after life...Votes: 0GitHub stars: 12
- Endo Fha Rpth Delayed Fracture Low BmdThis skill suggests that short-term recombinant parathyroid hormone 1-34 (rPTH) may be considered in rare adult functional hypothalamic amenorrhea (FHA) cases with delayed fracture healing and markedly reduced bone mineral density. Use when a clinician notes, 'Her fracture isn’t healing and her Z-score is -3—could rPTH help?' or considers rPTH for poor fracture healing or teriparatide in severe osteoporosis with FHA.Votes: 0GitHub stars: 12
- Endo Fha Patient Education Menstrual PatternsThis skill involves informing patients that irregular menses during recovery from functional hypothalamic amenorrhea do not require immediate evaluation and that menstrual irregularity does not prevent conception. It is used when a clinician says, 'Let’s explain what to expect as her cycles return,' or when statements like 'Tell her irregular periods are okay' or 'Reassure her she can still conceive while cycles normalize' are made.Votes: 0GitHub stars: 12
- Endo Fha Ovulation Induction Bmi ThresholdThis skill states that ovulation induction should be pursued only in women with functional hypothalamic amenorrhea (FHA) who have a body mass index (BMI) of at least 18.5 kg/m² and only after attempts to correct the underlying energy deficit. Use when a clinician asks, 'Her BMI is 18.2—should we hold off on ovulation drugs?' or hears triggers such as 'Wait until BMI is at least 18.5' or 'Don’t induce ovulation until weight is normalized'.Votes: 0GitHub stars: 12
- Endo Fha Gonadotropin Hyperresponse MonitoringThis skill advises close monitoring for an exaggerated ovarian response when using exogenous gonadotropins for ovulation induction in patients with functional hypothalamic amenorrhea (FHA) who also have underlying polycystic ovary syndrome (PCOS). Use when a clinician remarks, 'She’s on gonadotropins and has PCOS—watch for overstimulation,' or notes phrases such as 'Monitor for hyperresponse to gonadotropins' or 'Check estradiol frequently during gonadotropin therapy in PCOS'.Votes: 0GitHub stars: 12
- Endo Fha Fertility Clomiphene Citrate Trial EstrogenThis skill suggests a trial of clomiphene citrate for ovulation induction in women with functional hypothalamic amenorrhea (FHA) who have an adequate endogenous estrogen level, as determined by baseline estradiol measurement. Use when a clinician asks, 'Her estrogen is measurable—should we try clomiphene?' Triggers include language like 'If E2 is sufficient, try clomiphene' or 'Consider clomiphene after confirming estrogen production'.Votes: 0GitHub stars: 12
- Endo Fha Correct Energy ImbalanceThis skill recommends increasing caloric intake, improving nutrition, and/or decreasing exercise activity to restore energy balance and reactivate the hypothalamic–pituitary–ovarian axis in functional hypothalamic amenorrhea. It is triggered when a clinician states, 'We need to fix her energy deficit to bring back her periods,' or hears phrases like 'Increase calories and reduce exercise' or 'Focus on nutritional rehabilitation and weight gain'.Votes: 0GitHub stars: 12
- Endo Fha Brain Mri IndicationsThis skill recommends obtaining a brain MRI with pituitary slices and contrast in adolescents or women with presumed functional hypothalamic amenorrhea (FHA) who have severe/persistent headaches, non-self-induced vomiting, changes in vision/thirst/urination, lateralizing neurologic signs, or clinical/laboratory evidence of pituitary hormone deficiency or excess. Triggers include phrases such as “MRI for persistent headache and vomiting” or “Get pituitary MRI if there are neuro signs”.Votes: 0GitHub stars: 12