Clinical Imprint

Clinical simulation and personalized learning.

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Simulation
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Educational simulation only — do not enter real patient information or identifiers (PHI). See disclaimer for more information.

🕐 Historian

T+0:00

📝 Debrief Questions

Add questions during sim. Submit after sim ends.

📊 Lab Reference Ranges

📖 Clinical Pocket Guide

All topics
Highlight anything that teaches you something. A highlight can become a note, a flashcard, or both — that loop is the whole point of this library.

Ward-ready radiology for inpatient medicine. Start with Learn by System to go clinical-question → right study → how to read it → what to do next, or jump to a workflow tool.

Pick a modality for its best use cases, limitations, contrast/safety considerations, and the common ordering mistakes to avoid.

A systematic read for the film you will look at most: adequacy, the ABCDE sweep, the silhouette sign, lobar collapse, edema staging, pneumothorax on supine films, every line and tube with its target position, and the portable-film traps.

What a bedside probe can answer on a medicine service — lung B-lines and effusions, IVC and volume, focused cardiac views, bladder volume, two-point DVT compression and free fluid — and its limits and documentation.

The follow-up rule for each common incidentaloma — lung nodule, adrenal, thyroid, kidney, liver, pancreas, adnexa, aorta — and the discharge habit that keeps them from being lost.

Two short self-check drills. Which study? asks for the first test in a clinical scenario. Read the report gives you an impression and asks for your one-line assessment and next step before revealing a model answer.

Every value on a TTE report — what it is, normal range, what abnormal means, and the action that follows. Click a category banner to expand its cards.

How to read a CT chest / abdomen / head and MRI brain report — section walkthroughs plus common impressions and the action each triggers.

Clinical-question-first decision tree. Pick a category, find your scenario — get the best initial study, alternatives, context, and pitfalls.

Before you send the patient — contrast (renal, allergy, metformin), MRI safety, pregnancy / radiation, NPO, sedation. The pre-imaging checklist.

Radiology-report buzzwords by system. Each entry: what it means + the next step you should take clinically.

Communication pearls — what to have ready before paging, how to phrase the question, wet reads, reading-room etiquette, critical findings.

The high-yield interstitial lung disease patterns on HRCT — UIP vs NSIP made clear, plus organizing pneumonia, hypersensitivity pneumonitis, sarcoidosis, and the pneumoconioses. Each pattern: what it looks like, how to tell it apart, and what it changes clinically.

Practice-changing trials across Internal Medicine — every card leads with its full bedside takeaway. Pick a specialty, then use the pinned scope bar to switch between all trials, landmarks, and new (2020+) evidence.

Practical outpatient decision-making — preventive care, chronic disease management, medication choices, follow-up, red flags, symptom workups for the undiagnosed walk-in, and condition management by specialty. Pick a section to begin.

Clinical decision scores by IM specialty — each with a brief note on clinical significance. The highest-use scores (look for the 🧮 calculator badge) calculate directly in the card, with interpretation and action thresholds built in. For everything else, use the MDCalc link below.

🧮 Open MDCalc to calculate any score on this page

Find a lab, compare high and low patterns, and connect the result to a differential. Use the shortcuts below or search by test, abbreviation, or diagnosis.

Cheatsheet for the moment before you page a consultant. Each card answers four questions: when to consult, what to order before you call, what they'll ask you, and what to start while you wait.

Procedural reference for palliative interventions internal medicine teams need to recognize and consult for. Each card answers: what is it, who performs it, and when do you order it.

High-yield disease mechanisms organized by organ. Each card pairs the underlying pathophysiology in plain language with its bedside relevance, then closes with a "Clinical Countermeasures" block — the drugs and interventions that exploit or counteract that mechanism.

🫁 RSI & Ventilator Settings

Patient Weight: pending...
Rapid Sequence Intubation
Use this panel only when the simulation explicitly asks you to intubate. Choose one induction agent, one paralytic, then set the first ventilator settings.
The induction agent renders the patient unconscious so they don't experience the intubation — pick one whose hemodynamics fit the patient.
The paralytic briefly relaxes all skeletal muscle so the vocal cords open and the tube passes without gagging or resistance.
Initial Ventilator Settings
Tidal volume is dosed on ideal body weight (IBW), which comes from height + sex — never from actual weight. These two fields are read from the case and locked (they're the patient's, not yours to change) — the IBW and quick-fills below are calculated for you. Only if the case never stated one does that field open up for you to fill in.
FiO₂ is fixed at 100% for every intubation — full pre-oxygenation fills the oxygen reservoir and buys apnea time during the tube pass. Wean it down once the saturation is confirmed and stable.
Post-Intubation Sedation & Analgesia (optional)
Continuous infusions to keep the patient comfortable on the ventilator. Analgesia-first is preferred (treat pain before deepening sedation). Use the cyan buttons for common starting rates, then titrate to a sedation target.

🩸 Dialysis (RRT) Settings

Patient Weight: pending...
Renal Replacement Therapy
Use this panel when you've decided the patient needs dialysis. Pick a modality first — the matching settings appear below, with cyan quick-fills for common starting points. Prefer to hand it off? Close this panel and choose “Defer to the nephrologist” on the dialysis order instead.
Pick the modality first — the matching settings appear below with cyan quick-fills for common starting points.

🧠 Materials Practice

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