本文へ移動
cccskills
無料GitHub で公開

es-hcm-calc-adjusted-calcium

Computes albumin‑adjusted (corrected) serum calcium using total calcium and albumin to adjust for hypo‑ or hyperalbuminemia. Triggered when a clinician notes hypoalbuminemia and requests corrected calcium to assess true hypercalcemia of malignancy severity.

インストール方法を見る

含まれるファイル(1)

  • SKILL.md1.8 KB

SKILL.md(原文)

インストールする前に、エージェントに与えられる指示の中身を確認できます。

Calculate albumin‑adjusted (corrected) serum calcium

STEP 1 — Gather Information

Collect serum total calcium (mg/dL or mmol/L) and serum albumin (g/dL or g/L) with units.

STEP 2 — Rule In / Rule Out

If albumin <4 g/dL (<40 g/L) → proceed to adjustment; else albumin ≥4 g/dL (≥40 g/L) → adjusted calcium equals total calcium (no adjustment needed).

STEP 3 — Classify or Stratify

Select formula based on calcium unit: if calcium in mg/dL use adjusted Ca = total Ca + 0.8 × (4 – albumin[g/dL]); if calcium in mmol/L use adjusted Ca = total Ca + 0.02 × (40 – albumin[g/L]).

STEP 4 — Decide

Compute adjusted calcium using selected formula and report the value.

Clinical Guardrails / Mimics / Pitfalls

Do not apply adjustment when albumin is normal; avoid mixing units (e.g., using g/dL albumin with mmol/L calcium); do not confuse “corrected” with “adjusted” terminology; ensure acute changes in albumin changes in albumin are reflected; avoid using in patients with abnormal immunoglobulins that affect albumin assays.

Concrete Clinical Example

A patient with total calcium 10.5 mg/dL and albumin 2.5 g/dL yields adjusted Ca = 10.5 + 0.8 × (4 – 2.5) = 11.7 mg/dL, reclassifying mild HCM to moderate.

Source: Treatment of Hypercalcemia of Malignancy in Adults: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2023, https://doi.org/10.1210/clinem/dgac621

TODO: consider adding scripts/calc.py for the es-hcm-calc-adjusted-calcium calculator

レビュー

まだレビューはありません。使ってみた感想をお寄せください。

同じリポジトリのスキル

概要と使いどころ

Guide pump setting adjustments for the MiniMed 780G system based on CareLink data, using Medtronic's 3-step follow-up workflow. Use when a clinician has CareLink data for a 780G patient and wants to know what to change — which setting, by how much, and how to program it. Triggers include: "what do I adjust", "how to fix high TIR", "how to reduce hypos", "adjust ICR/ISF/basal", "SmartGuard settings", "780G pump settings review", or any question about optimising 780G therapy after reviewing a download.

日本語の概要は準備中です。原文の説明を表示しています。

dromlakhani/MD2SKILL132026年10月5日 更新

Performs corticotropin stimulation test to diagnose adrenal insufficiency when morning cortisol is indeterminate (3-15 µg/dL). Triggers include morning cortisol 3-15 µg/dL requiring further AI testing.

日本語の概要は準備中です。原文の説明を表示しています。

dromlakhani/MD2SKILL132026年10月5日 更新

Administers immediate parenteral injection of 50–100 mg hydrocortisone for suspected adrenal crisis secondary to adrenal insufficiency. Triggers include hypotension, hypoglycemia, or acute illness in a patient with known adrenal insufficiency.

日本語の概要は準備中です。原文の説明を表示しています。

dromlakhani/MD2SKILL132026年10月5日 更新

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.

日本語の概要は準備中です。原文の説明を表示しています。

dromlakhani/MD2SKILL132026年10月5日 更新

In central hypothyroidism patients receiving levothyroxine who initiate enzyme‑inducing antiepileptic drugs, the guideline recommends checking free T4 at least 6 weeks after AED start and increasing the levothyroxine dose if free T4 falls below the target range. Triggers include: central hypothyroidism patient on levothyroxine starting antiepileptic drug such as phenytoin, carbamazepine, or oxcarbazepine.

日本語の概要は準備中です。原文の説明を表示しています。

dromlakhani/MD2SKILL132026年10月5日 更新

Applies serum cortisol cutoffs (<3 μg/dL indicates central adrenal insufficiency; >15 μg/dL likely excludes it) when evaluating morning cortisol for suspected adrenal insufficiency. Triggers include morning cortisol measurement in suspected AI and use when interpreting morning cortisol levels for adrenal insufficiency workup.

日本語の概要は準備中です。原文の説明を表示しています。

dromlakhani/MD2SKILL132026年10月5日 更新

dromlakhani のスキルをすべて見る

このスキルの問題を報告する