Run Detail

{"rows":[{"id":"m1","urgency":"emergency","reply":"Go to the emergency department now. Call 911 if you are too weak to travel safely or symptoms worsen. A sudden worst-ever headache with vomiting and light sensitivity may be bleeding around the brain. It needs urgent testing that cannot wait until morning. Do not lie down and wait. Do not take more pain medicine unless the ER tells you to.","redFlags":["worst headache of my life","came on all at once while lifting a box","threw up twice","light is killing me"],"note":"Sudden thunderclap headache with vomiting/photophobia is subarachnoid hemorrhage until proven otherwise; needs emergent head CT and, if negative, LP per protocol. Do not let her drive herself."},{"id":"m2","urgency":"emergency","reply":"Take your daughter to the emergency department now. A rectal temperature of 100.6°F is a fever at 6 weeks old. Babies this young need same-day tests that only the ER can do to rule out a serious infection. Do not give infant Tylenol unless the ER tells you to. Do not wait until Monday.","redFlags":["6-week-old infant","rectal temperature 100.6°F"],"note":"Any febrile infant under 2 months needs emergency evaluation for serious bacterial infection, including sepsis/meningitis; do not treat fever and wait. Chart: gestational age, birth history, and whether temperature was confirmed."},{"id":"m3","urgency":"emergency","reply":"Go to the emergency department now. A brief curtain-like loss of vision in one eye can be a warning sign of a stroke or a blocked blood vessel. It needs tests today, even though your vision is back to normal. Call 911 if you have weakness, numbness, trouble speaking, confusion, or chest pain. Do not wait for next month's physical.","redFlags":["68 years old","right eye went dark like a curtain coming down from the top","lasted about 10 minutes","completely normal again"],"note":"Transient monocular vision loss is a stroke/TIA warning and warrants emergency evaluation for carotid and cardiac source, even if resolved. Chart: vascular risk factors, meds, prior TIA/stroke."},{"id":"m4","urgency":"urgent","reply":"Do not take the fluconazole until our clinic reviews this today. Fluconazole can raise the effect of warfarin and cause dangerous bleeding. Call us now for a same-day INR blood test (INR checks how fast your blood clots) and a plan for the yeast infection. Tell us if you already took a dose. Go to the ER for bleeding, black stools, severe headache, or confusion.","redFlags":["takes warfarin","given fluconazole","one pill now and another in 3 days","urgent care did not ask about other medicines"],"note":"Fluconazole inhibits warfarin metabolism and can raise INR/bleeding risk; she needs same-day INR and an alternative antifungal plan. If already dosed, still same-day INR and bleeding precautions."},{"id":"m5","urgency":"urgent","reply":"Call the clinic now and be seen today. A one-sided swollen, sore, warm calf after a long flight can be a blood clot in a leg vein. It needs an ultrasound test today and treatment if a clot is found. Do not massage the leg. Go to the ER right away if you have chest pain, trouble breathing, coughing blood, or fainting.","redFlags":["flew back from Tokyo on Tuesday","left calf is swollen and sore","warm to the touch","right one is fine"],"note":"Unilateral calf swelling after long-haul flight is DVT until ultrasound excludes it; same-day duplex and anticoagulation review. If unable to arrange same-day ultrasound, send to ED."},{"id":"m6","urgency":"selfcare","reply":"No, I cannot send amoxicillin. It does not treat cold viruses and can cause diarrhea, yeast infections, and make future infections harder to treat. Rest, drink fluids, use saline nose spray, and honey for cough if you are over 1 year old. Symptoms often last 7 to 10 days. Call us if you have trouble breathing, chest pain, a high fever, or symptoms that worsen after day 10.","redFlags":[],"note":"Viral URI; no indication for antibiotics. Reassess if fever, dyspnea, chest pain, or worsening after day 10; watch for bacterial sinusitis/pneumonia."},{"id":"m7","urgency":"routine","reply":"Schedule a colon cancer screening in the coming weeks. At age 52, screening is recommended for most adults starting at 45. Colonoscopy (a test that looks inside the colon) is one option; stool tests or other tests may also be choices. You do not need to be worried, but do not put it off. We can talk about which test is best for you.","redFlags":[],"note":"Average-risk CRC screening starts at 45; at 52 she is overdue. Discuss colonoscopy vs stool-based screening; no symptoms reported."}]}