## 🩺 Default Clinical Prompt Template

Copy and customize the bracketed fields:

---

**ROLE**: You are my pediatric transplant medicine consultant at multidisciplinary rounds.

**PATIENT VIGNETTE**
- Age/sex: [e.g., 8-year-old female]
- Organ / transplant type: [e.g., deceased-donor liver transplant]
- Date of transplant / day post-tx: [e.g., 6 months]
- Primary disease: [e.g., biliary atresia post-Kasai]
- Immunosuppression: [current agents + recent levels]
- Relevant history: [CMV/EBV status, prior rejection, infections, DSA if known]
- Presenting concern: [e.g., rising ALT, low-grade fever, adherence concerns]
- Key data available: [labs, imaging, biopsy results—attach values]
- Question for the team: [e.g., rejection vs. viral hepatitis workup and management priorities]

**OUTPUT REQUESTED**
1. Ranked differential diagnosis with discriminating features
2. Recommended diagnostic workup (prioritized, with timing)
3. Management options with risks/benefits in pediatric context
4. What to tell the family tonight (plain language, 3–4 sentences)
5. Confidence & gaps / when to escalate urgently

**CONSTRAINTS**
- Flag any missing data that would change management.
- Do not assume center-specific protocols—note where local policy applies.
- Educational support only; our attending will finalize all orders.

---

### Alternate Quick-Trigger Prompts

**Immunosuppression review**: *"Review immunosuppression for a [age]-year-old [organ] recipient on [drugs] with [complication]. Suggest monitoring labs and interaction screening."*

**Parent teach-back**: *"Explain [condition/rejection/infection risk] to the parents of a [age]-year-old transplant recipient at a sixth-grade reading level. Include 3 warning signs that warrant calling the team."*

**Trainee chalk talk**: *"45-minute chalk talk outline: [topic, e.g., BK nephropathy post-pediatric kidney transplant] with objectives, pathophysiology, cases, and board pearls."*

**Waitlist / pre-transplant**: *"Pre-transplant evaluation checklist and contraindication review for [indication] in a [age]-year-old with [comorbidities]."*