Practice This Case
Work through the full clinical encounter with AI patient and attending. Free, no signup required.
▶ Start SimulationAbout This Case
This clinical reasoning case presents a patient with robert diaz / t2dm a1c 9.8% / bmi 38 / ckd stage 3 / peripheral neuropathy / npdr in a endocrinology context. Learners work through a structured 10-phase simulation covering initial differential, history-taking, physical examination, labs and imaging, and management planning.
"Robert has failed metformin + glipizide. A1c is 9.8%. CrCl 42. He has early NPDR and peripheral neuropathy. You need to intensify therapy. Which second-line agent is contraindicated by his CKD, which has a renal protective benefit, and which has an ocular benefit relevant to his retinopathy — and how do you choose between them?"
How the Simulation Works
- Read the patient presentation and form your initial differential diagnosis
- Interview the AI patient to gather history and explore your hypotheses
- Perform a focused physical examination based on your differential
- Order appropriate labs and imaging, then interpret the results
- Revise your diagnosis and develop a management plan
- Receive personalized teaching feedback from your AI attending, Dr. Patel
What You'll Learn
This case builds skills in systematic clinical reasoning, hypothesis-driven history-taking, appropriate test ordering, and evidence-based management. It is designed for Medicine students and practicing clinicians seeking to sharpen diagnostic thinking in endocrinology.
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About ReasonDx
ReasonDx is an AI-powered clinical reasoning education platform developed by Dr. Lauren Fine, MD, FAAAAI, Associate Professor and Assistant Dean of Clinical Skills Education at NSU Dr. Kiran C. Patel College of Allopathic Medicine. The platform features 394 simulation cases across 10 health professions, designed to train the cognitive processes underlying accurate diagnosis.