Run Detail

{ "rows": [ { "id": "m1", "urgency": "emergency", "reply": "Call 911 now. Do not drive yourself or wait until morning. A sudden, worst-ever headache during lifting, especially with vomiting, can signal bleeding around the brain. This needs emergency testing even if the pain starts to improve. Do not take more ibuprofen or aspirin while waiting for help.", "redFlags": [ "Worst headache of life", "Sudden onset during lifting about 40 minutes ago", "Vomited twice", "Severe light sensitivity" ], "note": "Needs immediate evaluation for subarachnoid hemorrhage and other causes of thunderclap headache. Improvement after pain medicine would not lower the urgency." }, { "id": "m2", "urgency": "emergency", "reply": "Take your daughter to an emergency department now; do not wait until Monday or give Tylenol to see whether the fever goes away. At 6 weeks old, a rectal temperature of 100.4°F or higher needs prompt testing for a serious infection, even when a baby feeds and seems comfortable. Ask the emergency clinician before giving fever medicine. If she is hard to wake, has trouble breathing, or looks blue, call 911.", "redFlags": [ "Infant is 6 weeks old", "Rectal temperature of 100.6°F" ], "note": "A well-appearing infant this age still needs an age-specific febrile-infant evaluation; feeding normally does not exclude invasive infection." }, { "id": "m3", "urgency": "emergency", "reply": "Go to an emergency department today, as soon as possible; have someone else drive. Do not wait for your physical. A temporary curtain of darkness over one eye can mean that blood flow to the eye was briefly blocked. This can warn of a stroke, even after vision returns completely. Other serious eye problems also need to be checked. If vision loss returns, or you develop weakness, facial drooping, or trouble speaking, call 911.", "redFlags": [ "Sudden curtain-like loss of vision in the right eye", "Episode lasted about 10 minutes yesterday", "Age 68" ], "note": "Transient monocular vision loss warrants emergency retinal ischemia/TIA evaluation despite complete recovery. A routine eye appointment alone is not an adequate disposition." }, { "id": "m4", "urgency": "urgent", "reply": "Do not take the fluconazole until the interaction has been reviewed. Arrange a same-day medication review with our clinic or the clinician who manages your warfarin. Fluconazole can increase warfarin’s effect and cause dangerous bleeding, even with a short course. We need a safer treatment choice or a plan for blood testing and any dose changes. Do not stop or change warfarin yourself. If you already took fluconazole, tell us today. Go to the emergency department for uncontrolled bleeding, black stools, vomiting blood, or a sudden severe headache.", "redFlags": [ "Taking warfarin", "New fluconazole prescription with a second dose planned", "Other medicines were not reviewed" ], "note": "Confirm whether fluconazole was taken, the infection site, warfarin indication and dose, and recent INR. If fluconazole is used, coordinate early and follow-up INR monitoring because the interaction can persist after dosing." }, { "id": "m5", "urgency": "urgent", "reply": "Call our clinic now for an examination today and help arranging an ultrasound, a scan that checks blood flow. If we cannot arrange the needed testing today, go to an emergency department today. Swelling, soreness, and warmth in just one calf after a long flight can mean a blood clot in a deep leg vein. A clot can travel to the lungs, so a compression sock and elevation are not enough. If you develop chest pain, shortness of breath, coughing blood, or fainting, call 911.", "redFlags": [ "Recent long flight from Tokyo", "New swelling and soreness in only the left calf", "Affected calf feels warm" ], "note": "Urgent outpatient evaluation is appropriate only with a reliable same-day diagnostic pathway for suspected DVT. If that access is unavailable, the destination becomes the emergency department; absence of chest symptoms does not exclude a leg clot." }, { "id": "m6", "urgency": "selfcare", "reply": "No—we should not prescribe amoxicillin for these symptoms. For now, rest, drink fluids, and try saline nasal spray and honey for the cough. Four days of runny nose, scratchy throat, and cough without fever is more often from a virus or allergies. Antibiotics do not treat either and can cause diarrhea, allergic reactions, and harder-to-treat infections. Consider a COVID test. Contact us if symptoms last more than 10 days without improvement, worsen after improving, or you develop fever. Seek urgent care for trouble breathing or chest pain.", "redFlags": [], "note": "Would check for immune suppression, chronic lung disease, and risk factors for severe COVID, which could change testing and treatment timing. Past improvement with amoxicillin does not establish a bacterial cause." }, { "id": "m7", "urgency": "routine", "reply": "Schedule a visit in the coming weeks to choose a colon cancer screening test; do not put it off for years. Screening means checking for cancer or growths before symptoms start. For most adults, it begins at age 45, even without a family history. At 52, you are due if you have not had another screening test. Options include a yearly home stool test or a colonoscopy, a camera exam of the colon usually repeated every 10 years if normal. A positive stool test needs a colonoscopy. This is prevention, not a sign that you have cancer.", "redFlags": [], "note": "Confirm prior stool-based screening, personal polyp history, inflammatory bowel disease, and the fuller family history before treating as average risk. Bleeding, unexplained weight loss, or iron-deficiency anemia would require diagnostic evaluation rather than routine screening." } ] }