Clinical Reasoning Education
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Episodic Severe Headache — BP 228/134, Diaphoresis, Palpitations

Clinical reasoning simulation for healthcare students and educators

Endocrinology Urgent Medical/Basic Sciences

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 episodic severe headache / bp 228/134 / diaphoresis / palpitations 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.

"Catecholamine biosynthesis from tyrosine to epinephrine. Which enzyme is blocked by metyrosine — and why must alpha-blockade precede beta-blockade before surgery?"

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 Medical/Basic Sciences 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.