Menu
Skills in this repository
SkillsMP has collected 858 skills from dromlakhani/MD2SKILL. Open a skill to review its source and details.
dromlakhani/MD2SKILLShowing 40 of 858 collected skills.
This skill recommends against routine 25(OH)D testing in asymptomatic adults aged 50–74 years. It is triggered by questions such as "Should I order a vitamin D level for this patient aged 50-74?" or "Is vitamin D testing indicated for asymptomatic middle-aged…
Recommends against routine 25(OH)D testing in adults aged 75 years and older. Triggered by questions such as "Should I order a vitamin D level for this patient over 75?" or "Is vitamin D testing indicated for asymptomatic elderly adults?"
Recommends against routine 25(OH)D testing during pregnancy. Triggers include: "Should I order a vitamin D level for this pregnant patient?" and "Is vitamin D testing indicated for asymptomatic pregnant patients?"
Recommends against routine 25(OH)D testing in adults younger than 50 years. Triggers include clinician questions such as "Should I order a vitamin D level for this patient under 50?" or "Is vitamin D testing indicated for asymptomatic young adults?"
Suggests empiric vitamin D supplementation to lower mortality risk in adults aged 75 years and older. Triggered by clinician questions such as “Should I prescribe vitamin D to this elderly patient?” or “Is vitamin D supplementation indicated for patients over…
Suggests empiric vitamin D supplementation plus lifestyle modification to reduce diabetes progression in adults with high-risk prediabetes. Triggered by clinician questions such as "Should I prescribe vitamin D to this patient with prediabetes?" or "Is…
Suggests empiric vitamin D supplementation during pregnancy to lower the risk of preeclampsia, intra-uterine mortality, preterm birth, small-for-gestational-age birth, and neonatal mortality. Triggered by clinician questions such as "Should I prescribe…
Suggests thyroid ultrasound when a palpable thyroid nodule is detected on physical examination in patients with acromegaly. Trigger phrases include "palpable thyroid nodule," "thyroid nodularity on palpation," or "feeling a thyroid lump."
This skill determines whether growth hormone (GH) treatment is contraindicated for short stature in childhood cancer survivors without confirmed growth hormone deficiency (GHD) who have a history of spinal irradiation (e.g., total-body irradiation,…
This skill determines if growth hormone treatment should be avoided in childhood cancer survivors with short stature who are currently receiving tyrosine kinase inhibitor therapy (e.g., imatinib, dasatinib). Triggers include: “Should I use GH for short…
This skill determines whether growth hormone therapy should be initiated in childhood cancer survivors with confirmed growth hormone deficiency, based on demonstrated safety and efficacy in this population. Triggers include clinician questions such as "Should…
This skill determines when to discuss growth hormone treatment appropriateness and timing with the oncologist for childhood cancer survivors who have chronic stable disease (not definitively disease-free) following malignant disease treatment. Triggers…
This skill selects the appropriate growth hormone treatment regimen for childhood cancer survivors with confirmed growth hormone deficiency. It advises using the same dosing and monitoring strategies as for individuals with GHD from the noncancer population,…
This skill determines the appropriate timing for initiating growth hormone (GH) therapy in childhood cancer survivors, recommending to wait until 1 year disease‑free after completion of malignant disease treatment to minimize risks. Triggers include clinician…
This skill identifies childhood cancer survivors at high risk for short adult height based on cranial/spinal/total body irradiation at a young age or a history of inadequate weight gain or prolonged steroid requirement. It is triggered by questions such as…
This skill involves measuring standing and sitting height in childhood cancer survivors with spinal radiation exposure to assess for disproportionate short stature due to spinal foreshortening, including calculation of the upper-to-lower segment ratio. It is…
This skill identifies childhood cancer survivors who require periodic assessment for central precocious puberty based on history of hydrocephalus, intracranial tumors near the hypothalamic region, or hypothalamic‑pituitary axis radiation exposure. Triggers…
This skill determines the appropriate indications and treatment regimens for central precocious puberty in childhood cancer survivors, recommending to follow the same approaches (e.g., GnRHa therapy) used in the noncancer population. Triggers include: "How…
This skill determines whether serum testosterone (preferably via LC-MS/MS) and luteinizing hormone levels should be obtained before 10:00 AM to support clinical evaluation of male childhood cancer survivors suspected of or at risk for central precocious…
Determines when to avoid aldosterone suppression testing in hypertensive patients with a positive PA screen who have normokalemia and suppressed aldosterone below assay‑specific cutoffs (<11 ng/dL immunoassay or <8 ng/dL LC‑MS/MS), indicating low likelihood…
Recommends performing a dexamethasone suppression test to evaluate for autonomous cortisol secretion in patients with primary aldosteronism and adrenal adenoma. Triggered when a clinician considers whether to perform a dexamethasone suppression test in a…
Determines whether adrenal venous sampling (AVS) is needed in addition to CT for lateralizing primary aldosteronism before surgery. Trigger phrases include "patient with primary aldosteronism considering surgery", "unilateral adrenal adenoma on CT", "surgical…
Recommends spironolactone as first-line mineralocorticoid receptor antagonist for initial medical therapy of primary aldosteronism due to low cost and widespread availability. Use when a clinician queries which MRA to start for a patient with PA requiring…
Recommends using mineralocorticoid receptor antagonists rather than epithelial sodium-channel inhibitors for medical treatment of primary aldosteronism. Use when a clinician asks whether to use an MRA or ENaC inhibitor for medical treatment of PA.
In patients with primary aldosteronism receiving mineralocorticoid receptor antagonist therapy, the guideline recommends titrating the MRA dose upward to raise renin when blood pressure remains uncontrolled and renin is suppressed. Consider this step when…
Recommends correcting serum potassium to the laboratory reference range and repeating aldosterone-to-renin ratio (ARR) screening when the initial screen is negative in a hypertensive patient with hypokalemia. Use when a clinician encounters a negative PA…
Recommends withdrawing interfering medications and repeating aldosterone-to-renin ratio screening when initial screen is negative but clinical suspicion remains due to hypokalemia or medication interference. Trigger phrases include "initial screen negative",…
Determines whether to screen a patient with hypertension for primary aldosteronism based solely on the presence of hypertension. Use when a clinician asks whether to screen a hypertensive patient for PA, triggered by phrases such as "should we screen for…
Selects the aldosterone-to-renin ratio (ARR) method over hypokalemia for screening hypertensive patients for primary aldosteronism. Use when a clinician asks what test to use for screening hypertensive patients with resistant hypertension or unexplained…
Recommends ACTH stimulation during AVS to improve success rate of bilateral selective catheterization, acknowledging unclear impact on diagnostic accuracy for laterality. Triggers include when setting up AVS and asking 'Should I administer ACTH?' or…
Identifies patients with normokalemia and no adrenal tumors on CT who likely have bilateral PA and may proceed directly to medical therapy without AVS. Triggers include when a clinician notes normokalemia and clean adrenal CT and asks 'Is AVS necessary if I…
Identifies young patients with classic primary aldosteronism features who may proceed directly to unilateral adrenalectomy without adrenal venous sampling based on high probability of unilateral disease. Triggered when a clinician sees a patient <35 years…
Determines successful catheterization in adrenal venous sampling by applying selectivity index cut‑offs with and without ACTH stimulation. Triggered during AVS when measuring cortisol levels and asking “Is the catheter properly positioned?” or when reviewing…
Determines when adrenal venous sampling (AVS) is indicated for functional subtyping of primary aldosteronism (PA) when surgical treatment is feasible and desired by the patient. Triggered when a clinician confirms PA diagnosis and asks 'Do I need AVS for…
This skill provides criteria to distinguish unilateral from bilateral primary aldosteronism using adrenal venous sampling results, including lateralization index, contralateral ratio, and clinical factors. It is triggered after AVS when clinicians analyze…
Provides a checklist of five evidence-based measures to enhance the technical success of adrenal venous sampling procedures. Triggers include when preparing for AVS and asking 'How can I maximize success rate?' or troubleshooting failed attempts.
Identifies patients with a positive aldosterone-to-renin ratio screening who may proceed directly to subtype testing without confirmatory testing based on specific clinical criteria. Triggers include spontaneous hypokalemia, baseline plasma aldosterone…
Guides selection of the optimal confirmatory test (CCT, SIT, FUT, OSLT) for primary aldosteronism based on patient safety and feasibility. Triggers include when a clinician asks “Which confirmatory test should I use?” or evaluates patient comorbidities before…
Identifies patients with adrenal tumors on CT who should undergo dexamethasone suppression test to evaluate for autonomous cortisol co-secretion. Triggers include when a clinician finds an adrenal tumor on CT and asks 'Should I test for cortisol…
This skill recommends computed tomography (CT) as the initial imaging modality for primary aldosteronism (PA) evaluation in Japan, citing its accessibility and comparable performance to MRI. It is triggered when a clinician orders imaging for suspected PA and…