Clinical Rounds
Curated clinical trajectories

Expert Library.

A premium library of ready-to-run clinical cases built around diagnostic uncertainty, management timing, and structured debriefs. Each case includes the opening problem, pressure point, critical move, and teaching target.

All casesHigh acuityDiagnostic reasoningManagementDebrief ready
Cardiovascular

Aortic dissection

High-acuity chest pain with competing catastrophic causes and immediate management consequences.

OpeningAbrupt chest and back pain, diaphoresis, severe hypertension
PressureDissection vs ACS vs PE
MoveAnti-impulse therapy + CTA
Pulmonary

Acute pulmonary embolism

Pleuritic pain, tachycardia, and hypoxemia with enough overlap to keep the workup uncertain.

OpeningPleuritic chest pain, tachycardia, hypoxemia
PressureDisposition-shaping tests
MoveCTA / anticoagulation logic
Psychiatry

First-episode psychosis

Diagnostic framing, safety planning, and separation of psychiatric and medical contributors.

OpeningYoung adult with new persecutory beliefs and agitation
PressurePrimary vs secondary cause
MoveSafety screen + disposition
Neurology

Posterior circulation stroke

Dizziness, ataxia, and vomiting where the wrong frame delays time-sensitive escalation.

OpeningAcute vertigo, gait instability, dysarthria
PressurePeripheral vs central cause
MoveFocused neuro exam + stroke pathway
Endocrine

Diabetic ketoacidosis

Metabolic instability that tests fluid strategy, potassium timing, insulin initiation, and monitoring.

OpeningPolyuria, abdominal pain, tachypnea, hyperglycemia
PressureResuscitation sequence
MoveFluids, potassium, insulin protocol
Infectious Disease

Sepsis from pneumonia

Hypotension, hypoxemia, and source control choices under time pressure with reassessment built in.

OpeningFever, productive cough, hypotension, lactate elevation
PressureAntibiotics vs diagnostics timing
MoveSepsis bundle + reassessment

Cases built for teaching decisions.

Each library case is structured around the moment where clinical reasoning changes: a new result, a worsening vital sign, a missed discriminator, or a management decision that cannot wait for perfect certainty.

The goal is to make the case easy to run, easy to discuss, and specific enough for a meaningful debrief.

Opening
Patient presentation

Concise clinical entry point with acuity, context, and enough uncertainty to begin reasoning.

Pressure
Diagnostic fork

The competing diagnoses or decisions that make the case educationally valuable.

Action
Critical move

The test, treatment, escalation, or disposition choice that changes outcome and debrief quality.

Review
Teaching synthesis

Decision trace, missed cues, evidence links, and concrete next-step feedback.