medical-diagnosis

name	medical-diagnosis
description	Diagnostic reasoning, differential diagnosis, and clinical decision-making expertise for medical professionals
metadata	{"version":"1.0.0","author":"HALO Core","tags":["medical","diagnosis","clinical-reasoning","healthcare"]}

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