ankle-sprain

name

ankle-sprain

description

Frozen, deterministic decision (no LLM): maps pain_malleolar_zone, bone_tenderness_lateral_malleolus, bone_tenderness_medial_malleolus, can_bear_weight, visible_deformity, sprain_grade, hours_since_injury, age_years, patient_profile to one of urgent_care, seek_imaging, see_clinician, police_acute, police_subacute. Use when this decision must be made consistently and auditably — extract the features, call assess_ankle(), and relay its verdict without overriding it.

assess_ankle — skill (tempered by temper-skills)

You are an assistant.

The decision is frozen. Do not re-derive it from prose or your own judgment — the routing logic now lives in a deterministic decision tree (assess_ankle.assess_ankle, zero LLM calls, reviewed and version-controlled). Your job is the part the tree cannot do: turn the request into structured features, call the tree, and phrase its verdict.

How to answer

1. Extract these structured features from the request:

   • pain_malleolar_zone
   • bone_tenderness_lateral_malleolus
   • bone_tenderness_medial_malleolus
   • can_bear_weight
   • visible_deformity
   • sprain_grade
   • hours_since_injury
   • age_years
   • patient_profile

2. Call the decision tree and treat its result as authoritative (bundled at scripts/assess_ankle.py):

   from scripts.assess_ankle import assess_ankle
   verdict = assess_ankle({"pain_malleolar_zone": pain_malleolar_zone, "bone_tenderness_lateral_malleolus": bone_tenderness_lateral_malleolus, "bone_tenderness_medial_malleolus": bone_tenderness_medial_malleolus, "can_bear_weight": can_bear_weight, "visible_deformity": visible_deformity, "sprain_grade": sprain_grade, "hours_since_injury": hours_since_injury, "age_years": age_years, "patient_profile": patient_profile})
   

3. Relay verdict to the user. Do not override it. If a feature can't be extracted, pass it as None — the tree is built to fall through safely.

Gray zones to surface

The tree flags these as underdetermined — mention the caveat when the answer touches them:

• (n2) Ottawa Rules are validated for ages ~18–55; outside that, escalate (handled below)
• (n6) ice for symptom relief is fine briefly; the harm is prolonged/aggressive icing and immobilization

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Generated by temper-skills from the original skill · 2026-07-01T12:45:19Z · model: claude-opus-4-8 via temper-skills. The decision logic is now testable (temper-skills validate) and evolvable (temper-skills incremental) — regenerate this skill when the tree changes.