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
2023
CHA2DS2-VASc (ACC/AHA 2023 Guidelines)
LOW RISK
2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation (Joglar JA et al. Circulation 2024) (2023)
CHA2DS2-VASc (ACC/AHA 2023 Guidelines)
Applicable Population: Adults (>= 18 years) with non-valvular atrial fibrillation
Calculated Score:
1
points
Clinical Interpretation
Low Risk (0 points in males, 1 point in females)
Guideline-Directed Recommendation
OAC omission is reasonable.
Clinical Alerts & Safety Warnings
- Female sex is a risk modifier; isolated female sex without other risk factors confers low risk.
Deterministic Execution Trace
Zero-Token Arithmetic
Mathematical Formula
\text{Score} = C + H + A_2 + D + S_2 + V + Sc \quad (\text{Range: } 0-9)
Step-by-Step Formula Progression:
1
+0: Age < 65 years
2
+1: Female biological sex
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
}