Interactive Clinical Workbench
MedOrqis v2.1.1 Kernel
Clinical Playground
Test real clinical scenarios, run deterministic mathematical engines, and inspect step-by-step mathematical derivations without token hallucination.
Select Patient Scenario:
Cardiology & Nephrology
Elderly Diabetic Patient with Atrial Fibrillation & CKD
3 Calculators
Pediatrics & Infectious Diseases
Pediatric Acute Otitis Media Weight-Dose Capping
2 Calculators
Orthopedics & Vascular Surgery
Postoperative Knee Arthroplasty with Unilateral Calf Swelling
2 Calculators
Emergency Medicine & Pulmonology
Emergency Room Community-Acquired Pneumonia Assessment
2 Calculators
Cardiology & Health Policy
Cardiology Guidelines Divergence: ESC 2024 vs ACC/AHA 2023
2 Calculators
Cardiology & Health Policy
Cardiology Guidelines Divergence: ESC 2024 vs ACC/AHA 2023
58-year-old female with newly diagnosed paroxysmal atrial fibrillation without heart failure, hypertension, diabetes, prior stroke, or vascular disease. Demonstrates how the 2024 ESC update eliminated sex as an isolated risk score.
Recommended:
Active Calculator
2024
CHA2DS2-VA (ESC 2024 Guidelines)
LOW RISK
2024 ESC Guidelines for the management of atrial fibrillation (Van Gelder IC et al. Eur Heart J 2024) (2024)
CHA2DS2-VA (ESC 2024 Guidelines)
Applicable Population: Adults (>= 18 years) with non-valvular atrial fibrillation
Calculated Score:
0
points
Clinical Interpretation
Low Thromboembolic Risk (0 points)
Guideline-Directed Recommendation
Oral anticoagulation (OAC) is generally NOT recommended. Re-evaluate periodically.
Clinical Alerts & Safety Warnings
- Always assess renal function (CrCl via Cockcroft-Gault) prior to DOAC dosing.
Deterministic Execution Trace
Zero-Token Arithmetic
Mathematical Formula
\text{Score} = C + H + A_2 + D + S_2 + V \quad (\text{Range: } 0-8)
Step-by-Step Formula Progression:
1
+0: Age < 65 years
2
NOTE: Biological sex category REMOVED in ESC 2024 guideline (score range 0-8).
Invariant Input Payload:
{
"age_years": 58,
"biological_sex": "FEMALE",
"hx_heart_failure": false,
"hx_hypertension": false,
"hx_diabetes": false,
"hx_stroke_tia_thromboembolism": false,
"hx_vascular_disease": false
}