Built for MS3s, MS4s & New Interns

248 cases before
your first real one.

Admit patients, do the med rec, review labs, place orders, and write H&Ps in a simulated EMR. Answers are explained through the relevant society guidelines, clinical scores, and landmark trials.

Made with by physicians
Howard Fontenot
Age: 71 · Sex: M · Ht: 5'10" · Wt: 185 lb · Code: Full
1Chart Review
2Orders & H&P
3Feedback
4Day 2
5Questions
Notes
Vital Signs
Images
Encounters
Regina Baptiste, RN
Triage Note
Michelle Tran, MD
ED Provider Note
Triage Note
Regina Baptiste, RN — 14:00
71 y/o African American male arrives via EMS with c/o worsening productive cough x 3 days, fevers, chills, and dyspnea. Found by daughter this morning confused and lethargic in his home workshop. Reports pleuritic right-sided chest pain.

PMH: COPD, DM2, HTN, atrial fibrillation, prior pneumonia hospitalization (2 years ago).
Allergies: Penicillin (rash, throat swelling — possible angioedema).
ED Provider Note
Michelle Tran, MD — 15:00
HPI: 71 y/o M with COPD, DM2, HTN, AFib who presents with 3 days of worsening productive cough, fevers to 102.8 F, rigors, pleuritic chest pain, and progressive dyspnea. Found confused by daughter.

Exam: Acutely ill, diaphoretic. Tachycardic, irregularly irregular. Crackles and bronchial breath sounds at RLL. Oriented to self and place only.

Resident contacted. Patient being worked up.
TimeTempBPHRSpO2RR
15:30102.4 F112/6610893% (4L NC)26
15:00102.8 F104/5811288% RA28
14:00102.8 F104/5811286% RA28
EKG
Chest X-ray
Portable Chest X-ray
1.5 hrs ago (14:25)
Findings:
- Dense RLL consolidation with air bronchograms
- Small right parapneumonic pleural effusion
- Hyperinflated lungs (COPD)
- Heart size upper limits of normal

Impression: Right lower lobe pneumonia with parapneumonic effusion.
J. Arceneaux, MD
Pulmonology · 3 mo
P. Guillory, MD
PCP Annual · 6 mo
St. Anne Medical Ctr
DC Summary · 2 yr
Pulmonology Follow-up
James Arceneaux, MD — 3 months ago
71 y/o M with moderate COPD (GOLD II). Increased dyspnea on exertion. Using rescue albuterol 3-4x/week. FEV1 58% predicted (was 64% last year). Continue Tiotropium. Consider ICS/LABA if worsening. LDCT ordered for screening.
PCP Annual Visit
Patricia Guillory, MD — 6 months ago
Annual visit. A1c 8.1% (up from 7.4%). Weight 192 lb (down 6 lb over 6 months). Increased Metformin to 1000mg BID. AFib rate-controlled, CHA2DS2-VASc = 4, continue Apixaban. PHQ-9 score 8 (mild depression).
Discharge Summary — Pneumonia
St. Anne Medical Center — 2 years ago
Admitted with LLL pneumonia. Sputum grew S. pneumoniae. Treated with ceftriaxone/azithromycin, then PO levofloxacin (PCN allergy). Required O2 x 3 days. Discharged day 5.
Try a Free Case
Create a free account with 3 full cases and daily access to differential diagnosis
H&P practice with AI feedback
Society guidelines, clinical scores & landmark trials
Interactive learning widgets
248
Clinical Cases
685
Society Guidelines
610
Clinical Scores
822
Landmark Trials
2,200+
DDx Conditions

Patient encounters are text-based. Images include EKGs only — radiographic imaging (X-ray, CT, MRI) is outside the scope of this platform.

Cases

Learn medicine the way you'll practice it

Get used to the flow of admitting patients.

While learning about the society guidelines, clinical scores, and landmark trials about that specific case.

Why wait for an attending to roast you?

AI grades your H&P against our physicians' ideal H&P — so you learn now, not after rounds.

The day of "why did you do that?" is coming.

You need to understand that society guidelines, scores, and trials are — and should — shape your practice. This is the most intuitive place to learn them — attached to a memorable case.

Evidence-Based Learning

Treat patients based on evidence, not memory

Evidence-based medicine isn't optional — it's the standard of care. Every recommendation, score, and trial here comes directly from the literature, organized by condition so you can reference it when it matters.

Interactive Learning

Visual tools built into the cases

Some conditions are easier to understand when you can see them and interact with the data. These widgets are embedded directly in case feedback.

DDx Search

Enter symptoms. Get a ranked differential.

Type 2-6 clinical features — symptoms, signs, or lab values — and get a ranked list of possible diagnoses weighted by clinical relevance.

Dyspnea Peripheral edema Elevated BNP
1Heart Failure (HFrEF)3/3
2Heart Failure (HFpEF)3/3
3Pulmonary Embolism2/3
4Nephrotic Syndrome2/3
Jaundice RUQ pain Elevated ALP
1Choledocholithiasis3/3
2Cholangitis3/3
3Cholecystitis2/3
4Pancreatic Head Mass2/3
Fever New murmur Positive blood cultures
1Infective Endocarditis3/3
2Rheumatic Fever2/3
3Bacteremia / Sepsis2/3
4Prosthetic Valve Endocarditis2/3
Try DDx Search

Library

Quick-reference cards for every condition

Key clinical features, disease overviews, interactive widgets, guidelines, scoring tools, and landmark trials — all in one expandable card per condition.

Abdominal Aortic Aneurysm

Cardiovascular · 4 sections
Disease Overview

Abnormal dilation of the abdominal aorta to ≥3.0 cm (or >50% of normal diameter). Most are infrarenal (85%). Risk factors include age >65, male sex, smoking, HTN, and family history. Most are asymptomatic and discovered incidentally.

Interactive Widget

Drag the slider to see how aneurysm size affects surgical thresholds and rupture risk.

Key Clinical Features
Pulsatile abdominal mass Abdominal or back pain Hypotension (if ruptured) Smoking history Age > 65, male
Browse the Library

Start your first case in under 2 minutes

248 cases. 30-day money-back guarantee. Cancel anytime.

Get Started
Try a Free Case