316a5e0338
Fourth PE system added. Adolescent cardiovascular exam at the same teaching-focused depth as respiratory/neuro: five components with significance + pearls + detailed step methods + watch-for blocks. APTM auscultation diagram (new, inline SVG, no image file): - Stylised anterior chest with sternum, clavicles, ICS level lines, left mid-clavicular line - Five colour-coded landmarks: A Aortic — 2nd ICS right sternal border P Pulmonic — 2nd ICS left sternal border E Erb's pt — 3rd ICS left sternal border T Tricuspid — 4th ICS left sternal border M Mitral — 5th ICS mid-clavicular (apex) - Side legend: location + what to listen for at each point - Patient's-left / patient's-right labels to prevent mirror-image confusion CV-specific grading scales (3 new entries in SCALES): - Murmur grade Levine 1–6 - Pulse amplitude 0–4+ - Capillary refill time thresholds CV components: 1. Inspection (general appearance, central/peripheral cyanosis, clubbing with Schamroth sign, precordial bulge, visible apex, JVP) 2. Palpation (apex position + character, parasternal heave, thrills at all 5 points, peripheral pulses upper + lower, radio-femoral delay for coarctation) 3. Auscultation — approach (positioning, diaphragm vs bell, systematic walk through all 5 points, left lateral decub for MS, leaning forward for AR) 4. Auscultation — heart sounds + murmurs (S1, S2 split, S3/S4 gallops, murmur characterisation by timing/location/radiation/character, Levine grading, dynamic maneuvers, innocent-murmur "7 S" pearl) 5. Peripheral vascular (four-limb BP for coarctation, radio-femoral delay, bounding pulse differential) UI wiring: - renderSystem() emits APTM diagram card at the top of cv system, before scales. Two-column layout: SVG on left, legend on right. - accentMap/iconMap/labelMap extended with cv = rose accent, heart-pulse icon, "Cardiovascular" label - New sub-tab pill in pe-guide.html
81 lines
3.9 KiB
HTML
81 lines
3.9 KiB
HTML
<div class="module-header">
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<h2><i class="fas fa-stethoscope"></i> Physical Exam Guide</h2>
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<p>OSCE-style reference for age-appropriate MSK and Neuro exam + narrative report generator</p>
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</div>
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<div class="demographics-bar">
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<div class="demo-field">
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<label>Age Group</label>
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<select id="pe-age-group">
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<option value="">-- Select --</option>
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<option value="newborn">Newborn (0–28 days)</option>
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<option value="infant">Infant (1–12 months)</option>
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<option value="toddler">Toddler (1–3 years)</option>
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<option value="preschool">Preschool (3–5 years)</option>
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<option value="school">School-age (6–11 years)</option>
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<option value="adolescent">Adolescent (12–21 years)</option>
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</select>
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</div>
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<div class="demo-field">
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<label>Patient Age</label>
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<input type="text" id="pe-age" placeholder="e.g., 4 months">
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</div>
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<div class="demo-field">
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<label>Gender</label>
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<select id="pe-gender">
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<option value="">Select</option>
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<option>Male</option>
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<option>Female</option>
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</select>
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</div>
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<div class="demo-field">
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<label>Report Style</label>
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<select id="pe-format">
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<option value="narrative">Narrative (paragraphs)</option>
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<option value="list">Structured List</option>
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</select>
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</div>
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<div class="demo-field demo-field-model">
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<label><i class="fas fa-robot"></i> Model</label>
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<select class="tab-model-select"></select>
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</div>
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</div>
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<div class="wv-subtab-bar">
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<button class="wv-subtab-btn active" data-pesystem="msk">
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<i class="fas fa-bone"></i> Musculoskeletal
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</button>
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<button class="wv-subtab-btn" data-pesystem="neuro">
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<i class="fas fa-brain"></i> Neurologic
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</button>
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<button class="wv-subtab-btn" data-pesystem="resp">
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<i class="fas fa-lungs"></i> Respiratory
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</button>
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<button class="wv-subtab-btn" data-pesystem="cv">
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<i class="fas fa-heart-pulse"></i> Cardiovascular
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</button>
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</div>
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<div id="pe-content">
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<p style="text-align:center;color:#9ca3af;padding:40px;">Select an age group above to see the exam guide.</p>
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</div>
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<div class="milestone-actions" id="pe-actions" style="display:none">
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<button id="pe-all-normal" class="btn-sm btn-success"><i class="fas fa-check-double"></i> All Normal</button>
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<button id="pe-all-clear" class="btn-sm btn-ghost"><i class="fas fa-eraser"></i> Clear All</button>
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<button id="pe-generate-btn" class="btn-generate btn-generate-teal"><i class="fas fa-wand-magic-sparkles"></i> Generate Exam Report</button>
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</div>
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<div id="pe-output" class="card output-card hidden">
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<div class="card-header output-header">
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<h3><i class="fas fa-file-medical"></i> Physical Exam Report</h3>
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<div class="output-actions">
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<span id="pe-model-tag" class="model-tag"></span>
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<button class="btn-sm btn-primary" data-action="copy" data-target="pe-narrative-text"><i class="fas fa-copy"></i> Copy</button>
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<button class="btn-sm btn-ghost" data-action="speak" data-target="pe-narrative-text"><i class="fas fa-volume-high"></i> Read</button>
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<button class="btn-sm btn-ghost" data-action="nc-export" data-target="pe-narrative-text" data-label="physical-exam"><i class="fas fa-cloud-arrow-up"></i></button>
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</div>
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</div>
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<div id="pe-summary-bar" class="summary-bar hidden"></div>
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<div id="pe-narrative-text" class="output-text" contenteditable="true"></div>
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</div>
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