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
2019
Wells Score for Pulmonary Embolism (PE)
LOW RISK
Wells PS et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism. Thromb Haemost 2000;83:416-420; 2019 ESC Guidelines on acute pulmonary embolism (2019)
Wells Score for Pulmonary Embolism (PE)
Applicable Population: Adult outpatients and emergency patients with suspected pulmonary embolism
Calculated Score:
0
points
Clinical Interpretation
PE Unlikely (0 points — Two-Tier Model)
Guideline-Directed Recommendation
PE Unlikely (~ 12% probability). High-sensitivity D-dimer testing recommended. If D-dimer is below age-adjusted cutoff (Age * 10 ug/L if age > 50), PE is ruled out without CT Pulmonary Angiogram (CTPA).
Clinical Alerts & Safety Warnings
- In hemodynamically unstable patients (hypotension/shock), immediately initiate bedside echocardiogram and emergency resuscitation protocol.
Deterministic Execution Trace
Zero-Token Arithmetic
Mathematical Formula
\text{Wells PE} = 3(\text{DVT}) + 3(\text{PE Likely}) + 1.5(\text{HR}>100) + 1.5(\text{Immob}) + 1.5(\text{Hx VTE}) + \text{Hemo} + \text{Cancer}
Step-by-Step Formula Progression:
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
}