Diagnosis-based pages: deep-dive management for confirmed conditions.
Scope: Adult and geriatric patients (no pediatrics or pregnancy/OB).
How these differ from Complaints: Complaint pages start with a symptom and work through differential diagnosis. Problem pages start with a confirmed diagnosis and provide comprehensive guidance for ongoing management—pathophysiology, detailed workup, treatment algorithms, patient education, and monitoring.
When to use Problems vs Complaints:
- Patient presents with chest pain → start with Complaints
- Patient has established heart failure → use Problems
Body Systems#
| System | Planned Conditions | Focus |
|---|---|---|
| Cardiovascular | Heart failure, Atrial fibrillation, Hypertension, Hyperlipidemia, CAD | Chronic cardiac disease management, secondary prevention |
| Pulmonary | COPD, Asthma, OSA | Chronic airway disease, sleep-disordered breathing |
| Neurological | Migraine, Peripheral neuropathy | Chronic headache management, neuropathy workup and treatment |
| Gastrointestinal | GERD, IBS | Chronic GI conditions managed in primary care |
| Genitourinary | BPH, CKD | Urologic and renal conditions |
| Musculoskeletal | Osteoarthritis, Gout, Osteoporosis | Degenerative and metabolic bone/joint disease |
| Dermatology | Psoriasis, Eczema, Acne | Chronic skin conditions |
| ENT | Allergic rhinitis, BPPV, Tinnitus | Chronic ENT conditions |
| Endocrine & Metabolic | Type 2 diabetes, Hypothyroidism, Obesity | Metabolic disease management |
| Constitutional | Anemia, Chronic fatigue | Systemic conditions |
| Psychiatry & Sleep | Major depressive disorder, Generalized anxiety disorder, Chronic insomnia | Mental health and sleep disorders |
| Geriatrics | Dementia, Frailty, Polypharmacy | Geriatric syndromes |
Page Structure#
Every problem page follows the Problem Creation Standard:
- One-liner — Condition summary and PCP management focus
- Quick nav — Jump links to each section
- Definition and epidemiology — Diagnostic criteria and prevalence
- Pathophysiology — Mechanism (clinical level) + how to explain to patients
- Clinical presentation — Symptoms, exam findings, red flags
- Diagnostic workup — Initial evaluation, confirmatory testing, what NOT to order
- Treatment — Goals, non-pharm, pharm (with medication tables), counseling points
- Patient education — Plain-language content for handouts
- Prognosis and monitoring — Expected course, monitoring parameters
- Special populations — Elderly, CKD, other relevant populations
- When to refer — Specialist referral criteria and urgency
- Smartphrase snippets — EMR-ready documentation templates
- Related pages — Links to complaint pages and other problem pages
Related Resources#
- Complaints — Symptom-based pages for differential diagnosis
- Differentials — Diagnosis-first lookup
- Medication Management — Controlled substances, high-risk monitoring, tapering
- Preventive Care — Screening and immunizations