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.

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Select Patient Scenario:

Cardiology & Nephrology

Orthopedics & Vascular Surgery

Postoperative Knee Arthroplasty with Unilateral Calf Swelling

62-year-old female, 10 days post total knee replacement, presents to the clinic with severe pain and unilateral swelling in her right calf (+3.5 cm compared to left side), pitting edema, and deep vein tenderness.

Recommended:

wells-dvt-score wells-pe-score

Active Calculator

Wells Score for Pulmonary Embolism (PE)

2019

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Age (Years)

Weight (kg)

Height (cm)

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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": 62,
    "active_cancer": false,
    "paralysis_paresis_plaster": false,
    "recently_bedridden_major_surgery": true,
    "localized_tenderness_deep_vein": true,
    "entire_leg_swollen": false,
    "calf_swelling_gt_3cm": true,
    "pitting_edema_symptomatic_leg": true,
    "collateral_superficial_veins": false,
    "previously_documented_dvt": false,
    "alternative_diagnosis_more_likely": false
}

Clinical Playground

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Postoperative Knee Arthroplasty with Unilateral Calf Swelling

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Postoperative Knee Arthroplasty with Unilateral Calf Swelling

Wells Score for Pulmonary Embolism (PE)

Wells Score for Pulmonary Embolism (PE)

Deterministic Execution Trace