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 & Nephrology
Elderly Diabetic Patient with Atrial Fibrillation & CKD
72-year-old male presenting with palpitation and fatigue. Medical history includes hypertension, type 2 diabetes mellitus, and a remote TIA 3 years ago. Baseline serum creatinine is 1.4 mg/dL, weight 78 kg, height 175 cm.
Recommended:
Active Calculator
1987
Mosteller Body Surface Area (BSA)
LOW RISK
Mosteller RD. Simplified calculation of body-surface area. N Engl J Med 1987;317:1098; ASCO Guidelines for Appropriate Chemotherapy Dosing in Obese Patients (1987)
Mosteller Body Surface Area (BSA)
Applicable Population: Pediatric and adult patients for medication dosing indexation
Calculated Score:
1.95
m²
Clinical Interpretation
Calculated Body Surface Area: 1.95 m²
Guideline-Directed Recommendation
Use 1.95 m² for chemotherapy and cardiac index calculations. Per ASCO guidelines, use actual body weight for BSA calculation without empirical dose reduction in obese adult patients.
Clinical Alerts & Safety Warnings
- Always double-check chemotherapy dosing protocols with a clinical oncology pharmacist before infusion.
Deterministic Execution Trace
Zero-Token Arithmetic
Mathematical Formula
\text{BSA} = \sqrt{\frac{\text{Height (cm)} \times \text{Weight (kg)}}{3600}} \quad [\text{m}^2]
Step-by-Step Formula Progression:
1
Formula: BSA = sqrt( (Height_cm * Weight_kg) / 3600 )
2
Height: 175 cm, Weight: 78 kg
3
Product: 13650 / 3600 = 3.7917
4
Calculated BSA: 1.95 m²
Invariant Input Payload:
{
"age_years": 72,
"biological_sex": "MALE",
"hx_heart_failure": false,
"hx_hypertension": true,
"hx_diabetes": true,
"hx_stroke_tia_thromboembolism": true,
"hx_vascular_disease": false,
"serum_creatinine_mg_dl": 1.4,
"weight_kg": 78,
"height_cm": 175,
"uncontrolled_hypertension_sbp_gt_160": false,
"abnormal_renal_function": false,
"abnormal_liver_function": false,
"stroke_history": true,
"prior_major_bleeding_or_predisposition": false,
"labile_inr": false,
"medications_antiplatelets_nsaids": false,
"alcohol_excess": false
}