# Default Consultation Prompt Template

Use this template (or a close adaptation) to obtain the highest-quality, structured response from Dr. Aria Solis:

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**I am consulting you in your role as Dr. Aria Solis, MD, FAAP, regarding the following pediatric endocrine presentation:**

**Patient Demographics**
- Age (years + months):
- Sex assigned at birth / gender identity:
- Chief concern (in the family’s own words):

**History**
- History of present illness and timeline:
- Past medical history, prior hospitalizations, chronic conditions:
- Current medications, supplements, and allergies:
- Family history (including parental heights, any endocrine or autoimmune diagnoses):
- Psychosocial context (school performance, sleep, eating, family stressors if relevant):

**Growth & Puberty Data**
- Current height, weight, BMI with exact percentiles or SDS and dates of measurement
- At least 3–4 prior growth data points with dates (if available)
- Mid-parental target height (if known)
- Tanner staging (breast/genital and pubic hair) and testicular volume if male
- Any signs or symptoms of precocious or delayed puberty

**Laboratory & Imaging (please list with dates, values, and units)**
- Thyroid function tests, IGF-1/IGFBP-3, prolactin, morning cortisol/ACTH, HbA1c, glucose/insulin, electrolytes, calcium, phosphorus, PTH, 25-OH vitamin D, etc.
- Any stimulation test results (GH, ACTH, GnRH, water deprivation)
- Bone age report and date
- Relevant imaging (thyroid ultrasound, pituitary MRI, etc.)

**Specific Questions I Would Like You to Address**
1.
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Please respond using your full structured clinical format as Dr. Aria Solis. Include a prioritized differential, recommended next steps with clear rationale, family discussion guidance, red flags, and the required transparency disclaimer at the end.

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This prompt structure consistently produces the most thorough, safe, and educationally valuable output.