Clinical Notebook

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Look it up. See it by age. 🦴

Search a presentation and get the differential laid out for peds, adults, and geriatrics — with your own notes and diagrams attached.

🔍 Search everything 6 presentations Red flags & DDx by age

Personal PA study aid — not clinical guidance. Verify against authoritative sources. In an emergency, call 911.

Presentations

History & SOAP Note

Your structured approach to taking and documenting a history

Top tip from your notes: ask one question at a time, and use sign-posting — give a heads up about why you're asking something that may not feel relevant, and confirm it's okay.

S — Subjective

Component	What to capture
ID	Identify the patient
CC	Chief complaint — what they present with
HPI	History of presenting illness — use OLDCARTS (below)
PMHx	Past medical history — current vs past
PSHx	Past surgical history
Meds	Not just prescribed: vitamins (unregulated), OTC, nutraceuticals, nasal spray, eye drops, creatine. Confirm dose / frequency / route.
Allergies	Ask what happens if they consume it. Food, meds, environment, latex, metal, contrast. NKDA = no known drug allergies.
SocHx	Job, who lives at home, alcohol, marijuana, smoking, IV drugs, sexual health (active + protection), travel.
FHx	Relevant family history, parents / sibling history. A moment for empathy — no timeline on grief.
FIFE	Feelings · Ideas · Function · Expectations
ROS	Review of systems — sleep, eating, other pains, vision / dental, exercise changes

OLDCARTS — for the HPI

Onset — acute vs chronic · Location — narrow it down · Duration — continuous / intermittent
Character — "tell me about the pain" (dull, stabbing, throbbing, sharp)
Aggravating / alleviating — tried what? pressure, medication, movement?
Radiation — does it shoot anywhere? · Timing — time of day, worse over time?
Severity — 0–10 scale, impact on function

Useful framing: "Why didn't you come 3 months ago — why did you come now?" It surfaces what's really driving the visit.

O — Objective (vitals)

Vital	Notes / normal
T	Oral, rectal (peds), tympanic, temporal, axillary. >37.9 °C = fever
HR	Radial, 60–100 bpm. >100 = tachycardia. 15s ×4 or 30s ×2; if irregular do full 60s. Don't use thumb.
RR	12–20 breaths/min
BP	Seated 5 min before; arm at heart level; cuff 2.5 cm above elbow. Pump 30 mmHg above where radial pulse vanishes; first sound = systolic, sound stops = diastolic.
SpO₂	80–100 (restrictive ~>90)
Ht / Wt	Crucial in peds (dose-dependent)

Stethoscope: diaphragm = respiratory / high-frequency; bell = low-frequency.

A — Assessment

Rule out systemic causes with your sieve → Differentials

P — Plan

#	Step
1	Patient education
2	Imaging — X-ray, U/S
3	Blood work / labs
4	Rx — practitioner, rest, ice; med __ mg q6–8h PRN
5	F/U — follow up
6	Red flags — "if this happens… go to emerg or come back"

📁 Your uploaded notes

Physical Exam Checklists

From your OSCE checklists — tap a box to track practice

Vital Sign Assessment

Preparation

Washes hands before the examination

Introduces self & verifies patient identity

Explains the procedure to the patient

Temperature

Selects appropriate device & records findings

Pulse

Locates radial pulse; counts 30s ×2 (or 60s); notes rhythm & strength

Respiratory Rate

Observes chest rise while pretending to take pulse; counts 30s ×2

Blood Pressure

Arm at heart level; correct cuff; locates brachial artery

Inflates 20–30 mmHg above systolic; deflates slowly for Korotkoff sounds; records

Post-Procedure

Explains results; washes hands; documents all vitals accurately

HEENT Exam

Head

Inspect: hair loss, texture, skin changes · Palpate: tenderness, masses

Eyes

Inspect bilaterally; periorbital swelling, erythema, ecchymosis

eyelids: lash distribution, hordeolum (stye)

Conjunctivae & sclera; visual acuity & fields; EOM (H pattern); pupillary response

Ophthalmoscopy — evaluate fundi

red light reflex = back of eye

Ears · RF: mastoiditis

Inspect external ear; palpate tragus/pinna/mastoid; otoscope (TM)

Special: whispered test; Weber & Rinne (air vs bone)

Nose · RF: epistaxis

External & internal (otoscope): polyps, turbinate, obstruction

posterior bleed can be fatal — may drip down throat

Palpate maxillary (cheeks) & frontal (above eyebrows) sinuses

Mouth / Throat · RF: peritonsillar abscess, epiglottitis

Inspect lips, teeth, tongue, tonsils, uvula, palate; palpate TMJ, glands

Thyroid / Neck

Palpate thyroid while swallowing; cervical nodes

fixed + painless node = concern for cancer

Auscultate for bruits

whoosh = partial carotid obstruction

📁 Your uploaded notes

Differential Builder

Your "surgical sieve" — run any presentation through these so you don't miss one

Personal PA study aid — not clinical guidance. Verify against authoritative sources. In an emergency, call 911.

VINDICATE (from your SOAP assessment notes). Tap any branch for the prompt and worked examples.

📁 Your uploaded notes

Medical Terminology

Break any term into prefix · root · suffix

Build a term: Peri / cardi / um → Peri- (around) + cardi (heart) + -um (structure) = the structure around the heart.

Prefixes

Prefix	Meaning	Example
Intra-	Within, inside	Intravenous
Inter-	Between, among	Intercostal
Sub-	Under, below	Subcutaneous
Supra-	Above, beyond	Supraventricular
Uni- / Bi- / Tri-	One / two / three	Unilateral, bicornuate, triceps
Multi- / Pan-	Many / all	Multifocal pneumonia
Dys-	Painful, difficult, abnormal	Dyspnea
Eu-	Good, normal	Eupnea
Mal-	Bad, poor	Malnutrition
A-, An-	Without, lack of	Aseptic
Auto-	Self	Autograft
Micro- / Macro-	Small / large	Microcephaly, macrocephaly
Hyper- / Hypo-	High / low (vs normal)	Hyper-/hypothyroidism
Pre- / Post-	Before / after	Prenatal, postnatal
Peri-	Around, surrounding	Pericardium
Para-	Beside, near	Parathyroid
Ecto- / Endo-	Outside / within	Ectopic, endocrine
Epi-	On, upon, near	Epicardium
Hemi-	Half	Hemiplegia
Mono- / Poly-	One / many	Polycystic
Tachy- / Brady-	Fast / slow	Tachycardia, bradycardia
Trans-	Across, through	Transdermal
Leuk- / Eryth- / Cyan-	White / red / blue	Leukocytes, erythrocytosis, cyanosis
Echo-	Ultrasonic waves	Echocardiogram

Root Words

Root	Meaning	Example
Cardi/o	Heart	Cardiomyopathy
Dermat/o	Skin	Dermatologist
Gastr/o	Stomach	Gastritis
Hemat/o	Blood	Hematuria
Neur/o	Nerve	Neuralgia
Oste/o	Bone	Osteotomy
Ophthalm/o	Eye	Ophthalmology
Ren/o	Kidney	Renal colic
Pulmon/o	Lung	Pulmonary embolism
Psych/o	Mind	Psychosis
Gynec/o · Andr/o	Female / male	Gynecomastia, androgen
Hepat/o	Liver	Hepatitis
Enter/o	Intestine	Enteritis
My/o	Muscle	Myalgia
Arthr/o	Joint	Arthralgia
Rhin/o	Nose	Rhinoplasty
Hyster/o · Oophor/o	Uterus / ovary	Hysterectomy, oophorectomy
Encephal/o · Cerebr/o	Brain / cerebrum	Encephalopathy
Onc/o	Tumor, mass	Oncologist
Splen/o · Hepat/o	Spleen / liver	Splenomegaly
Tympan/o · myring/o	Eardrum	Myringotomy
Acr/o	Extremities	Acromegaly

Directional — learn in contrasting pairs

Term	Meaning
Anterior / Posterior	Front / back of body
Superior / Inferior	Upper / lower
Lateral / Medial	Side / middle
Proximal / Distal	Near / far from torso or joint
Superficial / Deep	Near / away from body surface

Suffixes

Suffix	Meaning	Example
-itis	Inflammation	Appendicitis
-ectomy	Surgical removal	Appendectomy
-ology	Study of	Neurology
-emia	Blood condition	Anemia
-osis	Condition (general)	Neurosis
-pathy	Disease, disorder	Neuropathy
-scopy	Examination	Colonoscopy
-oma	Tumor, mass	Lipoma
-gram, -graphy	Record, image	Mammogram
-rrhage, -rrhagia	Excessive flow	Hemorrhage, menorrhagia
-rrhea	Flow, discharge	Rhinorrhea
-plasty	Surgical repair	Arthroplasty
-centesis	Puncture to remove fluid	Paracentesis
-cele	Hernia, protrusion	Cystocele
-stomy	Surgical opening	Colostomy
-algia, -dynia	Pain	Arthralgia
-rrhaphy	Surgical suturing	Enterorrhaphy
-megaly	Enlargement	Hepatomegaly
-plegia	Paralysis	Quadriplegia
-lysis	Breakdown	Hemolysis
-iasis	Presence of	Cholelithiasis

📁 Your uploaded notes

Eye / HEENT Clinical Pearls

Fundoscopy findings, conditions & the differentials you mapped

Personal PA study aid — not clinical guidance. Verify against authoritative sources. In an emergency, call 911.

🚨 Eye Emergencies — your red-flag list

Painful vision loss
Pain with movement
Sudden onset — "sudden is not good"
Any vision loss
Ecchymosis & swelling
Periorbital swelling → orbital cellulitis

Fundoscopy & Retinal Findings

Finding	Points to
Roth spots	Infective endocarditis
Papilledema	↑ ICP, diabetes, brain tumour
Cotton wool spots	Diabetes
Hyphema	Blood under the iris
Red light reflex	Confirms clear path to back of eye

Eye Conditions Glossary

Condition	Description
Subconjunctival hemorrhage	Blood under conjunctiva — not concerning
Iritis / uveitis	Autoimmune; painful
Keratitis	Inflammation of cornea
Hordeolum (stye) / Chalazion	Painful / painless eyelid lump
Pterygium / Pinguecula	Triangular growth / yellowish bump on eye
Ptosis	Drooping eyelid
Miosis / Mydriasis	Constricted / dilated pupils
Anisocoria	Unequal pupils → congenital or brain bleed
Ectropion / Entropion	Eyelid turned out / in
Horner's syndrome	Ptosis + miosis + anhidrosis

Vision Loss Differential

Painful

Painful vision loss

Uveitis / iritis
Ocular migraines

Painless

Painless vision loss

Open-angle glaucoma
Cataracts (uni)
Age-related macular degeneration
Diabetic neuropathy
Amaurosis fugax (uni)

Discharge: viral → viral Sx · bacterial → purulent · allergic → gritty, bilateral, watery. RAPD = swinging-light test. H-test = tracking / nystagmus.

📁 Your uploaded notes

Mnemonics & Frameworks

The memory scaffolds from your notes

OLDCARTS — HPI

Onset · Location · Duration · Character · Aggravating/alleviating · Radiation · Timing · Severity

FIFE — patient perspective

Feelings · Ideas · Function · Expectations

VINDICATE — differential sieve

Vascular · Infectious · Neoplastic · Degenerative · Idiopathic/Iatrogenic · Congenital · Autoimmune · Traumatic · Endocrine

SOAP — note structure

Subjective · Objective · Assessment · Plan

📁 Your uploaded notes

Calculators & Decision Tools 📊

Quick links to the MDCalc clinical calculators — each opens on MDCalc in a new tab. Always confirm criteria against the current source.

A starter set to grow into — the decision tools your rotations use most, drawn straight from the pharmacology dataset.

MDCalc tools

Pharmacology 💊

A searchable study scaffold of common meds — class, indications, contraindications, risks, and renal dosing.

⚠️ Study scaffold — not clinical guidance

Medications

📁 Your uploaded notes

Notes & Uploads 📝

This is your drop-off spot. Jot down ideas to improve the site, and hand off your OneNote exports — then forget about them. Every morning a little helper tidies everything up for you.

✨ Last tidy — what changed

Last tidy: Sun 21 Jun 2026, 6:02 AM

Your inbox was empty — nothing new to tidy this time.

Your 6 AM helper runs every morning — this is what it did last time, plus anything worth your attention.

💡 Site improvement notes

Anything you wish worked differently, a presentation you want added, a typo you spotted — type it here. It saves automatically as you go, so you never lose a thought.

Your notes

Saved

Saves straight into your notebook’s private storage (you’ll need your upload code, set below). Your saved notes stay in the notebook so you can reopen and read them anytime — on any device.

📥 Upload to the notebook’s inbox

Drop your OneNote exports or notes here from any computer — PDFs, Word docs, images, markdown. They land straight in the notebook’s shared inbox and get sorted automatically every morning at 6 AM. Nothing is saved to this device.

Upload code

This is the private code the notebook’s owner gave you. It’s stored only on this device so you won’t need to type it again.

Which section is this for?

Pick where these notes belong so they show up on the right page. Not sure? Leave it on Unsorted — the 6 AM helper sorts it, or you can re-file it from the “Needs a home” tray below.

Drag & drop files here or browse your computer

Files up to 25 MB each. Accepted: PDFs, Word docs, images, OneNote exports, and notes. Export per section as a PDF rather than the whole notebook at once — smaller files upload reliably and land on the right page.

Big one-time import? Drop all your files into the local inbox/ folder and run the organizer — that path bypasses the 25 MB-per-file and daily upload limits and sorts everything in one pass.

✏️ My notes (write here)

Write and keep typed study notes right on the site — like a OneNote page. Pick a section, give it a title, and type. It saves automatically into your private notebook so you can reopen it on any device.

📤 How to export from OneNote

⚠️ Good things to know (gotchas)

🌅 What happens at 6 AM

⏰

Every morning at 6:00, a little helper wakes up and tidies your inbox for you — automatically, with nothing for you to click.

Your improvement notes get added to a running log, so all your ideas live in one tidy place.
Your OneNote files, images and PDFs get sorted by topic into neat folders.
Your library updates so everything is findable.

That's the whole deal: you drop things in the inbox and forget them. You never have to file anything by hand.

Calendar 📅

Tap any day to add rotations, shifts, exams and deadlines — and colour-code them with the key up top. It saves to your private notebook, so it’s on every device. Later, it can fill itself in from your email each morning.

…

✨ How the auto-fill will work

✉️

This works exactly like the 6 AM helper that tidies your notes — but for your schedule. Every morning a little helper wakes up, reads your email, and looks for anything with a date:

Rotation & clerkship schedules emailed by your program or preceptor.
Shift assignments and on-call changes.
Exam dates, quiz dates and assignment deadlines.
Appointments and meetings — anything with a day and time.

It adds each one to this calendar for you. You just glance at it — no forwarding, no copy-paste, no typing dates in by hand.

🔨 Turn it on (when you have this on your own computer)

The auto-fill runs from your own computer, where your email and your notebook both live. Here’s the one-time setup — you only do this once.

Set up the morning email → calendar helper ⭐ One-time

Best for: anyone running this notebook on their own Mac or PC who wants their schedule filled in automatically.

Install Claude on your computer. Get Claude Code (the helper that does the work) from claude.com/claude-code, or the Claude desktop app. This is the same thing that already runs your 6 AM notes tidy.
Connect your email. Give the helper read access to the inbox your schedules come to — through a Gmail / email connector. It only needs to read mail to find dates; it never sends or deletes anything.
Create a daily scheduled task. Ask Claude: “Make a scheduled task that runs every morning, reads my new email, pulls out anything with a date — rotations, shifts, exams, deadlines — and adds it to my Clinical Notebook calendar.” It builds the routine for you.
Pick a time. 6 AM is a good choice — it can run right alongside the notes tidy so your whole day is ready when you wake up.
Review the first run. The first morning, check what it added. The helper only adds events — you stay in control and can remove anything that isn’t right.

Not set up yet? That’s fine — the calendar above still works as a plain month view you can glance at. The auto-fill is an add-on you switch on whenever you’re ready.

🔒 Your email stays private

The helper reads your email on your own computer — your messages are never uploaded anywhere or made public.
Only the event title and date land on the calendar (e.g. “Cardiology rotation starts” on a date). The email itself is not stored here.
It only ever reads mail to find dates — it never sends, replies to, or deletes anything.

Publish to your own Cloudflare 🚀

This whole site is just a folder of files that you own. You can put it online for free on your own Cloudflare account — no monthly fee, no credit card.

📦 What you're uploading

Upload the whole project folder — the index.html file plus its sub-folders (like organized/ and your assets). Cloudflare hosts it exactly as-is. Make sure index.html sits at the top level of the folder, not tucked inside another folder.

🛠️ Publish it (no terminal needed)

Dashboard drag-and-drop ⭐ No terminal needed

Best for: a small static folder (index.html + a few sub-folders) you want live without a command line or GitHub.

Create a free Cloudflare account at dash.cloudflare.com/sign-up: enter email + password and verify via the confirmation email. The free plan is the default — no credit card needed.
Make sure index.html sits at the top level of your folder (not nested). Drag-and-drop accepts a single folder OR a .zip of the files (max 1,000 files, 25 MiB each).
In the left sidebar open Workers & Pages (some dashboards label it "Compute (Workers)" → Workers & Pages).
Click Create application (or "Create"), then on the Pages side choose Get started → Drag and drop your files (Direct Upload, not "Connect to Git").
Enter a project name (lowercase letters, numbers, hyphens) — it becomes your URL, e.g. my-site.pages.dev — then drag your folder or .zip onto the upload area.
When upload finishes, click Deploy site.
After a few seconds your live URL appears: https://PROJECT-NAME.pages.dev. Click it to confirm the site loads.
To update later, open the project, go to the upload / "Create a deployment" tab, and drag the new version. Each upload is a new deployment with rollback history.

🌐 Add your own custom domain (optional)

In the Cloudflare dashboard, open Workers & Pages and select your Pages project.
Go to the Custom domains tab and click Set up a domain.
Enter the domain/subdomain (e.g. www.example.com) and click Continue then Activate domain.
If the domain is already on Cloudflare, the CNAME DNS record is created automatically — wait for status "Active".
If not on Cloudflare: for a subdomain add a CNAME at your DNS host pointing to PROJECT-NAME.pages.dev; for an apex domain (example.com) first add the domain as a Cloudflare zone and point its nameservers to Cloudflare, then redo the steps.
A free SSL certificate is issued automatically; the domain goes live once DNS propagates and status shows "Active".

🆓 It's genuinely free

Cloudflare Pages' free tier is ample for a tiny static site: unlimited bandwidth and requests, unlimited sites, free automatic SSL/HTTPS, and a free *.pages.dev subdomain. No credit card required.

Free-plan limits (none of which matter for a small site): 500 deployments/month, and up to 1,000 files per drag-and-drop deploy, each file up to 25 MiB. Custom domains and certificates are free too.