Clinical Reasoning Education

Kevin Torres — Chronic LBP, Construction Worker, Cannot Return to Work, ADL Impaired

Clinical reasoning simulation for healthcare students and educators

Musculoskeletal Intermediate Occupational Therapy

Practice This Case

Work through the full clinical encounter with AI patient and attending. Free, no signup required.

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About This Case

This clinical reasoning case presents a patient with kevin torres / chronic lbp / construction worker / cannot return to work / adl impaired in a musculoskeletal context. Learners work through a structured 10-phase simulation covering initial differential, history-taking, physical examination, labs and imaging, and management planning.

"Kevin has not worked for 9 months. He used to coach his son's soccer team and now barely leaves the house. His occupational profile reveals that work and coaching were his entire identity. What occupational performance deficits matter most to him — and how do you use graded activity and meaningful occupation to address the disability cycle without directly confronting his pain beliefs?"

How the Simulation Works

  1. Read the patient presentation and form your initial differential diagnosis
  2. Interview the AI patient to gather history and explore your hypotheses
  3. Perform a focused physical examination based on your differential
  4. Order appropriate labs and imaging, then interpret the results
  5. Revise your diagnosis and develop a management plan
  6. 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 Occupational Therapy students and practicing clinicians seeking to sharpen diagnostic thinking in musculoskeletal.

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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.