Diagnostic Analysis
Instructions for Clinicians
Enter complete patient history including presenting symptoms, mental status exam findings, medical history, and relevant psychosocial factors. Use aliases and remove personally identifiable information (names, dates of birth, locations) before submitting. The more detail provided, the more accurate the analysis.
What to Include in a Clinical Vignette
Not all sections will be available for every case.
1. Demographics & Identifying Information
Age, gender, race/ethnicity, living situation, occupation/student status.
2. Chief Complaint & History of Present Illness
Patient's own words, timeline, precipitating event, specific symptoms (sleep, appetite, mood, energy, concentration).
3. Social & Developmental History
Family dynamics, financial stressors, cultural/environmental factors, support system.
4. Substance Use & Medical History
Alcohol, drugs, caffeine, medications, recent illnesses, head injuries. Rule out organic causes.
5. Pertinent Negatives
What the patient denies: "Denied suicidal ideation," "Appetite unchanged," "No psychosis." This is crucial for ruling out diagnoses.
6. Mental Status Exam (MSE)
Appearance, behavior, affect/mood, cognition, insight/judgment.