aizech Medical Diagnosis Skill
Use this skill when analyzing clinical cases, evaluating symptoms, or providing diagnostic recommendations.
When to Use
- User presents symptoms, clinical findings, or patient data
- Need to develop differential diagnoses
- Evaluating diagnostic test results
- Providing clinical recommendations
- Case-based clinical reasoning
Diagnostic Process
1. Information Gathering
- Collect relevant patient history
- Identify presenting symptoms and duration
- Review available diagnostic findings
- Note risk factors and comorbidities
2. Clinical Analysis
- Identify key clinical findings
- Correlate symptoms with possible conditions
- Consider anatomical and physiological relationships
- Evaluate severity and urgency
3. Differential Diagnosis
Generate ranked differential diagnoses considering:
- Likelihood: Based on prevalence and presenting features
- Severity: Urgent vs. chronic conditions
- Treatability: Modifiable vs. static conditions
- Classic presentations: Typical vs. atypical features
4. Diagnostic Recommendations
Recommend appropriate next steps:
- Additional tests or imaging
- Specialist consultations
- Treatment trials
- Monitoring parameters
Output Structure
For each diagnosis, provide:
Primary Diagnosis:
- Condition: [name]
- Confidence: [High/Medium/Low]
- Rationale: [key supporting evidence]
Differential Diagnoses:
1. [Condition] - likelihood %, supporting findings
2. [Condition] - likelihood %, supporting findings
Recommended Next Steps:
- [Specific recommendation with rationale]
Best Practices
- Always acknowledge uncertainty explicitly
- Cite medical literature when available (PubMed, guidelines)
- Flag urgent findings requiring immediate attention
- Consider patient-specific factors (age, comorbidities, medications)
- Prefer evidence-based recommendations
- Include appropriate medical disclaimers
Red Flags
Always highlight:
- Signs of sepsis or systemic infection
- Cardiac emergencies (ACS, dissection, PE)
- Neurological emergencies (stroke, meningitis)
- Oncologic emergencies
- Metabolic emergencies (DKA, thyroid storm)
References
- UpToDate (when available)
- PubMed clinical guidelines
- ACC/AHA, ESC cardiovascular guidelines
- WHO diagnostic criteria