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297 个(dromlakhani 的仓库) · 按人气排序

Suggests real-time CGM over no CGM for outpatients with type 2 diabetes who use insulin and/or sulfonylureas and are at high risk for hypoglycemia to detect and prevent low glucose events. Consider when initiating CGM in T2D patients on insulin/SU with a history of severe hypoglycemia or impaired awareness of hypoglycemia (IAH).

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

If CGM is not available, continue monitoring blood glucose with point-of-care testing as an alternative option. Trigger phrases include: "CGM is not available, what should we use for glucose monitoring?

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Determines if adolescent meets criteria for GnRH agonist treatment to suppress pubertal development. Triggers include adolescent requesting to suppress puberty, adolescent with gender dysphoria seeking pubertal blockade, or clinician noting Tanner G2/B2 with request for hormone suppression.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Suggests short-term, intermittent real-time CGM use in adult patients with type 2 diabetes not on prandial insulin who have A1C ≥7% and are willing and able to use the device. Triggered by phrases such as “T2DM basal-only, A1C ≥7%, consider intermittent CGM” or “Short-term CGM for non-prandial T2DM with elevated A1C”.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill determines whether a patient using a hybrid closed-loop insulin pump can continue this therapy upon hospital admission. It is triggered by questions such as "Can hybrid closed-loop pump be continued given hospital constraints?"

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill confirms whether a hospital has the necessary policies and expertise to support inpatient insulin pump therapy, including informed consent, standardized order sets, and device management guidance for imaging and surgical procedures. Triggered by questions such as "Are hospital policies and expertise in place for insulin pump use?" to ensure safe continuation of pump therapy in noncritical illness.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Transition insulin pump to scheduled subcutaneous basal bolus insulin when anticipated hospital length of stay exceeds 1 to 2 days and pump expertise is unavailable. Triggers include: "Patient expected to stay >2 days, should we switch pump to scheduled insulin?

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Assists clinicians in determining whether to proceed with social transition for prepubertal youth experiencing gender dysphoria or gender incongruence. Triggers include prepubertal youth with GD/gender incongruence and discussions about initiating social transition.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill recommends against initiating puberty blocking or gender-affirming hormone treatment in prepubertal children diagnosed with gender dysphoria or gender incongruence. Clinical triggers include a young child presenting with GD/gender incongruence and caregivers or clinicians considering hormone intervention.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Evaluates cardiovascular risk factors in persons receiving hormone therapy by obtaining fasting lipid profiles and diabetes screening. Triggered when a patient is on gender-affirming hormone therapy and due for routine cardiovascular risk assessment.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill suggests continuing personal CGM with or without ADIP rather than discontinuation for inpatients already using it who are at high risk for hypoglycemia. Trigger phrases include "Should I continue or discontinue personal CGM for this inpatient who is already using it?" and "Is it appropriate to maintain personal CGM during hospitalization?"

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Determines if an adolescent meets criteria for initiating sex hormone treatment for gender dysphoria/gender incongruence. Triggered when an adolescent requests sex hormones or presents for gender-affirming hormone therapy evaluation.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Provides schedule for monitoring during sex hormone induction. Trigger: patient initiating gender-affirming hormone therapy (GAHT).

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Suggests initiating inpatient CGM for select diabetic patients at high risk for hypoglycemia based on Table 3 criteria. Triggers include "Should I initiate CGM for this hospitalized diabetic patient at high risk for hypoglycemia?" or "Is inpatient CGM warranted for this patient?"

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Determines whether a patient meets the minimum age requirement (≥18 years or legal age of majority) for genital surgery that includes gonadectomy and/or hysterectomy. Trigger phrase: patient requests gonadectomy or hysterectomy as part of gender-affirming genital surgery.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill checks for contraindications or sources of inaccuracy that may affect continuous glucose monitoring (CGM) reliability in hospitalized adults. It is triggered when clinicians ask, “Are there factors that could make CGM unreliable?” or when assessing for skin infection, hypoperfusion, hypovolemia, vasoactive/pressor therapy, or medications such as acetaminophen >4 g/day, dopamine, vitamin C, or hydroxyurea.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill determines whether an adolescent or adult patient meets DSM-5 criteria for gender dysphoria (gender incongruence) by evaluating the presence of at least two of six specified criteria over a minimum 6-month duration, accompanied by clinically significant distress or impairment. It is triggered when a clinician queries whether the patient's reported symptoms align with gender dysphoria, such as persistent incongruence between experienced/expressed gender and designated gender.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Determines if patient meets ICD-10 criteria for transsexualism. Triggered when a clinician uses ICD-10 for diagnostic purposes in gender identity assessment.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Guides timing of breast surgery for transgender males based on physical and mental health status. Triggers include transgender male considering breast surgery or requesting mastectomy.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Determines whether an adult patient meets eligibility criteria for initiating gender-affirming hormone therapy. Triggered when an adult patient requests gender-affirming hormones or presents for evaluation of hormone therapy eligibility.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Provides monitoring schedule for transgender females on estrogen therapy, including clinical evaluation, hormone levels, prolactin, electrolytes, BMD, and cancer screening. Triggered when a transgender female is receiving estrogen therapy for gender affirmation.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

This skill determines whether testicular volume should be used as the primary or sole indicator of sexual development in male childhood cancer survivors who have received gonadotoxic treatments such as alkylating agents or testicular radiotherapy. Triggers include clinician questions like “Can I use testicular volume to assess puberty in this male survivor after chemotherapy?” or “Is testis size reliable for sexual maturity evaluation post‑radiation?”

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Assesses Tanner stage to determine if physical changes of puberty have begun (stage G2/B2 or higher) for considering pubertal suppression. Triggered when a clinician evaluates pubertal development in an adolescent patient.

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新

Recommends real-time CGM with confirmatory POC-BG for insulin dosing adjustments in insulin-treated hospitalized adults at high risk of hypoglycemia when resources and training are available. Triggers include: "Should we use CGM for insulin adjustments?" or "Is CGM appropriate for this patient?

中文简介正在准备中。当前显示原文说明。

dromlakhani/MD2SKILL142026年10月5日 更新