1천건 · 관련도순
Recommends equipping every patient with primary adrenal insufficiency (PAI) with a glucocorticoid injection kit for emergency self‑administration and providing training on its use. Trigger when preparing a PAI patient for stress dosing, adrenal crisis prevention, or when prescribing glucocorticoid replacement and needing to ensure emergency preparedness.
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Determines whether to perform adrenal venous sampling (AVS) to lateralize aldosterone excess in patients with confirmed primary aldosteronism (PA) who are being evaluated for surgical treatment. Indicated when surgery is feasible and desired by the patient, or when subtype workup is planned for a surgical candidate, especially in those younger than 35 years with spontaneous hypokalemia, marked aldosterone excess, and unilateral adrenal lesions on CT.
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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 patient with PA and adrenal adenoma.
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Educates patients with primary adrenal insufficiency on increasing glucocorticoid dosage during intercurrent illness, fever (≥38°C), or physiological stress, including recognition of precipitating symptoms (e.g., fever, vomiting, trauma) and actions to prevent impending adrenal crisis. Trigger phrases: fever, intercurrent illness, stress, vomiting, inability to tolerate oral meds, need for parenteral glucocorticoid.
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Recommends using the lowest tolerable hydrocortisone dose to potentially decrease risks of metabolic and cardiovascular disease in central adrenal insufficiency. Triggers include managing a patient with central adrenal insufficiency requiring glucocorticoid replacement.
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Recommends hydrocortisone replacement dosing of 15–20 mg total daily, administered as a single dose or divided doses with the highest dose given in the morning upon awakening and the second dose in the afternoon (two-dose regimen) or second and third doses at lunch and late afternoon (three-dose regimen). Use when initiating glucocorticoid replacement for adrenal insufficiency; triggers include diagnosing adrenal insufficiency requiring glucocorticoid replacement.
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In patients with normal preoperative adrenal function, suggests an individualized clinical approach for postoperative glucocorticoid administration until HPA axis evaluation can be performed. Triggers include managing postoperative patient with normal preoperative adrenal function needing glucocorticoid management.
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Teaches AI patients about stress-dosing and emergency glucocorticoid administration; instructs to obtain emergency card/bracelet/necklace and kit with injectable high-dose GC. Triggers when counseling any patient with adrenal insufficiency (e.g., "Use when counseling patient with adrenal insufficiency...").
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Recommends administering stress-dose glucocorticoids before surgery and tapering after surgery in patients with adrenal insufficiency before repeat testing. Triggers include preoperative planning for surgery in a patient with known or suspected adrenal insufficiency.
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Clinicians educate adrenal insufficiency patients taking nondexamethasone glucocorticoids who initiate enzyme-inducing antiepileptic drugs about early signs of adrenal insufficiency. Trigger when an AI patient on nondexamethasone GC starts an enzyme-inducing AED such as phenytoin, carbamazepine, or oxcarbazepine.
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Suggests administering 25-75 mg hydrocortisone per 24 hours for 1-2 days in patients with adrenal insufficiency undergoing minor to moderate surgical stress. Triggers include patient undergoing minor to moderate surgery with known or suspected adrenal insufficiency.
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Suggests testing HPA axis functionality before and after starting GH replacement in patients not receiving glucocorticoid replacement with apparently normal pituitary-adrenal function. Triggers include initiating GH replacement in a GHD patient who is not on glucocorticoids and has normal adrenal function.
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Automate Adrapid tasks via Rube MCP (Composio). Always search tools first for current schemas.
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Expert-level number theory knowledge. Use when working with divisibility, prime numbers, modular arithmetic, congruences, Diophantine equations, cryptography, quadratic residues, or analytic number theory. Also use when the user mentions 'prime', 'divisibility', 'modular arithmetic', 'congruence', 'GCD', 'Euler totient', 'Fermat little theorem', 'Chinese remainder theorem', 'quadratic residue', 'Diophantine equation', 'RSA', or 'prime factorization'.
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Single owner of everything under docs/architecture/ — ADRs, architecture and design documents, and architecture diagrams. Routes each deliverable to the right engine: /mermaid-architecture for Markdown-native diagrams, /drawio-architecture for editable .drawio diagrams, and the optional archify skill for interactive standalone HTML diagrams (used only when already installed in the environment; never installed at runtime). Use whenever architecture documentation, ADRs, or architecture diagrams must be created or updated.
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Write an Architecture Decision Record (ADR) document for a technical decision. Use when documenting a technical choice, architectural decision, or design decision.
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When scoring a roadmap, PR review, ADR, or ticket for completeness — risk, tests, migration, maintainability. Dispatched by /refine-ticket, /adr-create, /review-changes; never auto-gates.
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Use when choosing between alternatives with trade-offs — X-or-Y decisions or a weighted decision matrix / gewichtete Entscheidungsmatrix ('score my options'); ADR via `adr-create`.
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Padrões de codificação universais, melhores práticas e padrões para desenvolvimento em TypeScript, JavaScript, React e Node.js.
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Especialista em event sourcing, CQRS e padrões de arquitetura orientada por eventos. Domina design de event store, construção de projeções, orquestração de sagas e padrões de consistência eventual. Use PROATIVAMENTE para sistemas baseados em event sourcing, requisitos de trilha de auditoria ou modelagem de domínio complexa com consultas temporais.
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Padrões especialistas para desenvolvimento com Azure Functions, incluindo modelo isolated worker, orquestração de Durable Functions, otimização de cold start e padrões de produção. Cobre modelos de programação .NET, Python e Node.js. Use quando: azure function, azure functions, durable functions, azure serverless, function app.
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Padrões abrangentes para criar, manter e gerenciar Registros de Decisões de Arquitetura (ADRs) que capturam o contexto e a lógica por trás de decisões técnicas significativas.
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Aplica as cores de marca oficiais e tipografia da Anthropic a qualquer tipo de artefato que possa se beneficiar de um visual e sentimento do padrão Anthropic. Use quando diretrizes de cores de marca, guias de estilo, normas de design visual ou padrões de design corporativo se aplicarem.
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Aplica as cores oficiais da marca Anthropic e tipografia a qualquer tipo de artefato que possa se beneficiar da identidade visual da Anthropic. Use quando diretrizes de cores da marca ou padrões de design, formatação visual ou padrões de design corporativo se aplicarem.
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