AI-Powered
Clinical Decision Support
AI-Powered
Clinical Decision Support
We empower clinicians with our AI platform for developing
differential diagnoses and drafting clinical plans.
AI-Powered Clinical
Decision Support
We empower clinicians with our AI platform for developing
differential diagnoses and drafting clinical plans.
Draft Differential Diagnosis
Draft Assessment & Plan
Ask Clinical Reference Question
Input a Patient Summary
Include age, sex, relevant past medical history, medications, presenting symptoms, associated symptoms, descriptions of relevant studies (including labs and imaging), the illness course and any addition information you might include when consulting another physician about your patient.
71 year old male with a history of MI presents with subacute progressive dyspnea on exertion and is found to have bilateral lower extremity edema, an S3 heart sound, and JVD on physical exam, EF newly revealed to be 30%.
Draft Differential Diagnosis
Try an example
chest pain with hyperacute T waves
confusion and disorientation
chest pain with ST segment elevation
subacute progressive dyspnea
Differential Diagnosis Draft
Enhanced
This differential diagnosis was drafted by a large language model fine-tuned on complex diagnostic cases curated by the Glass Health Clinical Team.
The following diagnoses are options that a clinician may want to consider and investigate but should never replace a clinician's judgment.
Comprehensive Review of the Case: A 71-year-old male with a history of myocardial infarction (MI) presents with subacute progressive dyspnea on exertion. On physical examination, he is found to have bilateral lower extremity edema, an S3 heart sound, and jugular venous distension (JVD). His ejection fraction (EF) is newly revealed to be 30%. The summary does not provide information on demographics beyond age and sex, site of care, geographic region, travel history, patient history including surgical, psychosocial, and family history, medications, results of other diagnostic studies beyond the EF, initial treatments, or response to treatments. There is no mention of vital signs or laboratory test results.
Clinical Problem Representation: A 71-year-old male with a history of myocardial infarction presents with subacute progressive dyspnea on exertion, bilateral lower extremity edema, an S3 heart sound, jugular venous distension, and a newly revealed ejection fraction of 30%.
Most Likely Differential Diagnosis:
Acute Decompensated Heart Failure (ADHF): The patient's history of MI, progressive dyspnea on exertion, bilateral lower extremity edema, S3 heart sound, JVD, and reduced EF are classic signs of ADHF. This condition is characterized by the heart's inability to pump effectively, leading to fluid accumulation and congestion. The absence of other symptoms such as chest pain or fever supports this diagnosis.
Ischemic Cardiomyopathy: Given the patient's history of MI and reduced EF, ischemic cardiomyopathy is a likely diagnosis. This condition results from chronic ischemia leading to myocardial damage and impaired cardiac function. The clinical presentation of dyspnea, edema, and signs of heart failure are consistent with this diagnosis.
Dilated Cardiomyopathy: The reduced EF and heart failure symptoms could also be due to dilated cardiomyopathy, a condition where the heart chambers enlarge and weaken. This can be idiopathic or secondary to other conditions such as viral infections, alcohol abuse, or toxins. The patient's history of MI makes ischemic cardiomyopathy more likely, but dilated cardiomyopathy remains a consideration.
Expanded Differential Diagnosis:
Valvular Heart Disease: Conditions such as aortic stenosis or mitral regurgitation can lead to heart failure symptoms and reduced EF. The presence of an S3 heart sound and JVD could be indicative of valvular dysfunction. An echocardiogram would help in diagnosing valvular abnormalities.
Restrictive Cardiomyopathy: This condition is characterized by impaired ventricular filling due to stiff ventricular walls. It can present with heart failure symptoms, JVD, and reduced EF. Causes include amyloidosis, sarcoidosis, and hemochromatosis. The absence of specific systemic symptoms makes this less likely but still possible.
Constrictive Pericarditis: This condition involves the thickening and calcification of the pericardium, leading to restricted cardiac filling and heart failure symptoms. The presence of JVD and edema could be consistent with this diagnosis. A history of pericarditis or tuberculosis would support this diagnosis, but it is less likely without such history.
Can't Miss Differential Diagnosis:
Acute Coronary Syndrome (ACS): Although the patient has a history of MI, a new ACS event could precipitate heart failure symptoms. This is a life-threatening condition that requires immediate attention. An ECG and cardiac biomarkers would help in diagnosing ACS.
Pulmonary Embolism (PE): PE can present with dyspnea, JVD, and signs of right heart strain, which can mimic heart failure. Given the patient's history of MI and potential for thromboembolic events, PE should be considered. A D-dimer test and CT pulmonary angiography would be diagnostic.
Cardiac Tamponade: This condition involves the accumulation of fluid in the pericardial sac, leading to impaired cardiac filling and heart failure symptoms. The presence of JVD and hypotension would be concerning for tamponade. An echocardiogram would be essential for diagnosis.
Severe Aortic Stenosis: This valvular condition can lead to heart failure symptoms and reduced EF. The presence of an S3 heart sound and JVD could be indicative of severe aortic stenosis. An echocardiogram would help in diagnosing this condition.
Endocarditis with Complications: Infective endocarditis can lead to heart failure symptoms due to valvular damage. The presence of an S3 heart sound and JVD could be consistent with this diagnosis. Blood cultures and echocardiography would be necessary for diagnosis.
Acute Respiratory Distress Syndrome (ARDS): Although less likely, ARDS can present with dyspnea and hypoxemia, which could be mistaken for heart failure. This condition is life-threatening and requires immediate attention. A chest X-ray and arterial blood gas analysis would help in diagnosing ARDS.
Draft Differential Diagnosis
Draft Assessment & Plan
Ask Clinical Reference Question
Input a Patient Summary
Include age, sex, relevant past medical history, medications, presenting symptoms, associated symptoms, descriptions of relevant studies (including labs and imaging), the illness course and any addition information you might include when consulting another physician about your patient.
71 year old male with a history of MI presents with subacute progressive dyspnea on exertion and is found to have bilateral lower extremity edema, an S3 heart sound, and JVD on physical exam, EF newly revealed to be 30%.
Draft Differential Diagnosis
Try an example
chest pain with hyperacute T waves
confusion and disorientation
chest pain with ST segment elevation
subacute progressive dyspnea
Differential Diagnosis Draft
Enhanced
This differential diagnosis was drafted by a large language model fine-tuned on complex diagnostic cases curated by the Glass Health Clinical Team.
The following diagnoses are options that a clinician may want to consider and investigate but should never replace a clinician's judgment.
Comprehensive Review of the Case: A 71-year-old male with a history of myocardial infarction (MI) presents with subacute progressive dyspnea on exertion. On physical examination, he is found to have bilateral lower extremity edema, an S3 heart sound, and jugular venous distension (JVD). His ejection fraction (EF) is newly revealed to be 30%. The summary does not provide information on demographics beyond age and sex, site of care, geographic region, travel history, patient history including surgical, psychosocial, and family history, medications, results of other diagnostic studies beyond the EF, initial treatments, or response to treatments. There is no mention of vital signs or laboratory test results.
Clinical Problem Representation: A 71-year-old male with a history of myocardial infarction presents with subacute progressive dyspnea on exertion, bilateral lower extremity edema, an S3 heart sound, jugular venous distension, and a newly revealed ejection fraction of 30%.
Most Likely Differential Diagnosis:
Acute Decompensated Heart Failure (ADHF): The patient's history of MI, progressive dyspnea on exertion, bilateral lower extremity edema, S3 heart sound, JVD, and reduced EF are classic signs of ADHF. This condition is characterized by the heart's inability to pump effectively, leading to fluid accumulation and congestion. The absence of other symptoms such as chest pain or fever supports this diagnosis.
Ischemic Cardiomyopathy: Given the patient's history of MI and reduced EF, ischemic cardiomyopathy is a likely diagnosis. This condition results from chronic ischemia leading to myocardial damage and impaired cardiac function. The clinical presentation of dyspnea, edema, and signs of heart failure are consistent with this diagnosis.
Dilated Cardiomyopathy: The reduced EF and heart failure symptoms could also be due to dilated cardiomyopathy, a condition where the heart chambers enlarge and weaken. This can be idiopathic or secondary to other conditions such as viral infections, alcohol abuse, or toxins. The patient's history of MI makes ischemic cardiomyopathy more likely, but dilated cardiomyopathy remains a consideration.
Expanded Differential Diagnosis:
Valvular Heart Disease: Conditions such as aortic stenosis or mitral regurgitation can lead to heart failure symptoms and reduced EF. The presence of an S3 heart sound and JVD could be indicative of valvular dysfunction. An echocardiogram would help in diagnosing valvular abnormalities.
Restrictive Cardiomyopathy: This condition is characterized by impaired ventricular filling due to stiff ventricular walls. It can present with heart failure symptoms, JVD, and reduced EF. Causes include amyloidosis, sarcoidosis, and hemochromatosis. The absence of specific systemic symptoms makes this less likely but still possible.
Constrictive Pericarditis: This condition involves the thickening and calcification of the pericardium, leading to restricted cardiac filling and heart failure symptoms. The presence of JVD and edema could be consistent with this diagnosis. A history of pericarditis or tuberculosis would support this diagnosis, but it is less likely without such history.
Can't Miss Differential Diagnosis:
Acute Coronary Syndrome (ACS): Although the patient has a history of MI, a new ACS event could precipitate heart failure symptoms. This is a life-threatening condition that requires immediate attention. An ECG and cardiac biomarkers would help in diagnosing ACS.
Pulmonary Embolism (PE): PE can present with dyspnea, JVD, and signs of right heart strain, which can mimic heart failure. Given the patient's history of MI and potential for thromboembolic events, PE should be considered. A D-dimer test and CT pulmonary angiography would be diagnostic.
Cardiac Tamponade: This condition involves the accumulation of fluid in the pericardial sac, leading to impaired cardiac filling and heart failure symptoms. The presence of JVD and hypotension would be concerning for tamponade. An echocardiogram would be essential for diagnosis.
Severe Aortic Stenosis: This valvular condition can lead to heart failure symptoms and reduced EF. The presence of an S3 heart sound and JVD could be indicative of severe aortic stenosis. An echocardiogram would help in diagnosing this condition.
Endocarditis with Complications: Infective endocarditis can lead to heart failure symptoms due to valvular damage. The presence of an S3 heart sound and JVD could be consistent with this diagnosis. Blood cultures and echocardiography would be necessary for diagnosis.
Acute Respiratory Distress Syndrome (ARDS): Although less likely, ARDS can present with dyspnea and hypoxemia, which could be mistaken for heart failure. This condition is life-threatening and requires immediate attention. A chest X-ray and arterial blood gas analysis would help in diagnosing ARDS.
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FEATURES
Smarter Medical Decision-Making
Smarter Medical Decision-Making
Smarter Medical Decision-Making
Transform your approach to diagnosis and care planning with tools
designed to optimize clinician workflows.
Transform your approach to diagnosis and care planning with tools designed to optimize clinician workflows.
Transform your approach to diagnosis and care planning with tools
designed to optimize clinician workflows.
Expand your Differential Diagnosis
Expand your Differential Diagnosis
Expand your Differential Diagnosis
Glass helps you draft a differential diagnosis for complex patients. We analyze your patient summary and suggest diagnoses you may consider and investigate.
Glass helps you draft a differential diagnosis for complex patients. We analyze your patient summary and suggest diagnoses you may consider and investigate.
Glass helps you draft a differential diagnosis for complex patients. We analyze your patient summary and suggest diagnoses you may consider and investigate.
Draft Clinical Plans
Draft Clinical Plans
Draft Clinical Plans
Glass drafts an assessment and plan based on your patient summary in seconds, suggesting evidence-based diagnostic and treatment steps for you to consider.
Glass drafts an assessment and plan based on your patient summary in seconds, suggesting evidence-based diagnostic and treatment steps for you to consider.
Glass drafts an assessment and plan based on your patient summary in seconds, suggesting evidence-based diagnostic and treatment steps for you to consider.
HOW IT'S DONE
Guided by Evidence, Powered by AI
Guided by Evidence, Powered by AI
Guided by Evidence, Powered by AI
Glass combines cutting-edge AI with peer-reviewed medical knowledge.
AI-Powered Clinical Guidance
We combine a large language model with evidence-based, peer-reviewed clinical guidelines created and maintained by our physician team.
AI-Powered Clinical Guidance
We combine a large language model with evidence-based, peer-reviewed clinical guidelines created and maintained by our physician team.
We combine a large language model with evidence-based, peer-reviewed clinical guidelines created and maintained by our physician team.
We combine a large language model with evidence-based, peer-reviewed clinical guidelines created and maintained by our physician team.
Streamline Diagnostic Decisions
Glass identifies diagnoses that may match the presentation in your patient summary.
Guideline-Driven Clinical Plans
We apply relevant clinical guidelines to your patient summary and generate the first draft of clinical plans for you to review.
Streamline Diagnostic Decisions
Glass identifies diagnoses that may match the presentation in your patient summary.
Glass identifies diagnoses that may match the presentation in your patient summary.
Glass identifies diagnoses that may match the presentation in your patient summary.
Guideline-Driven Clinical Plans
We apply relevant clinical guidelines to your patient summary and generate the first draft of clinical plans for you to review.
We apply relevant clinical guidelines to your patient summary and generate the first draft of clinical plans for you to review.
We apply relevant clinical guidelines to your patient summary and generate the first draft of clinical plans for you to review.
Guideline-Driven Clinical Plans
We apply relevant clinical guidelines to your patient summary and generate the first draft of clinical plans for you to review.
OUR MISSION
Glass Health was founded because we believe that technology should be fully leveraged to optimize the practice of medicine and human health.
To this end, we have set out to empower providers and patients with the best-in-class AI for clinical decision support.
With a deep commitment to safety, ethics, and alignment, we aim to increase diagnostic accuracy, improve the implementation of evidence-based medicine, accelerate the achievement of health equity, and improve patient outcomes worldwide.
Built by clinicians, for clinicians.
Our team brings together experienced clinicians who have trained at leading institutions around the world, united by a shared commitment to advancing patient care.
