Work the case
Describe the presenting signs. The agent asks targeted clinical questions to complete the parameter set.
- "Wobbly, falls to one side, head tilt."
- "Seizure last night, two in 24 h."
Branch by sign
Gait, seizure, behaviour, pain - each presenting pattern pulls a different question set.
- Ataxia vs paresis - the key split
- Onset, progression, distribution
Localise the lesion
The main feature. Runs the parameters across a defined set of nervous-system sites.
- Three confidence levels per site
- The proof for each - which parameters drove it
Differential diagnoses
From the localisation and the same parameters, a list of what could be behind it.
- Tied to the localised site, not generic
- Ranked, with the reasoning kept
Work-up plan
What to do next to narrow it down - the in-clinic checks and tests still outstanding.
- Postural reactions, spinal reflexes
- Deep-pain testing, imaging when indicated
Flag emergencies
Acute and worsening? It says plainly the patient needs assessment now.
- Non-ambulatory, cluster seizures, sudden blindness
- Suspected severe pain