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Draft a comprehensive differential diagnosis for acute substernal chest pain in a 45-year-old male with hypertension and hyperlipidemia, diaphoresis, exertional onset, and normal initial ECG/troponin; include life-threatening causes first, key distinguishing features, and immediate diagnostic next steps.

Draft a detailed differential diagnosis for new-onset unilateral throbbing headache with visual aura and brief monocular vision loss in a 32-year-old female on oral contraceptives; include red-flag symptoms, stroke/TIA considerations, and recommended initial workup.

Draft an assessment and plan for stage-2 hypertension (BP 162/98) in an obese 52-year-old with suspected obstructive sleep apnea; include ASCVD risk estimate, lifestyle prescriptions, first-line pharmacotherapy with drug/dose/targets, baseline labs/monitoring, and 4–6 week follow-up.

Draft an assessment and plan for type 2 diabetes follow-up with A1c 9.2% on metformin 1,000 mg BID and eGFR 65; compare adding a GLP-1 receptor agonist vs an SGLT2 inhibitor, address weight loss goals, hypoglycemia education, vaccinations, and micro/macrovascular screening.

Draft a history and physical for a patient presenting with chest pain, including HPI using OLDCARTS, pertinent ROS, PMH/meds/allergies, FH/SH, focused cardiac/pulmonary exam, initial labs and imaging orders, prioritized differential, HEART score risk stratification, and early management.

Draft a history and physical for a new patient with progressive exertional dyspnea, orthopnea, and bilateral leg edema; include differential (heart failure, COPD, PE, anemia, renal disease), targeted exam maneuvers, and first-line diagnostics and management.

Draft a progress note for COPD follow-up two weeks after an acute exacerbation treated with prednisone and antibiotics; include symptom trajectory, CAT score (if available), inhaler technique/adherence, oxygen needs, spirometry plan, smoking cessation counseling, and return precautions.

Draft a progress note for post-operative day 2 after total knee arthroplasty; include pain control strategy, DVT prophylaxis, PT/OT milestones, wound status, bowel/urinary function, labs/vitals review, complications screening, and discharge readiness.

Draft a discharge summary for community-acquired pneumonia admission; include admission/discharge dates, presenting symptoms, radiology/labs, pathogen if identified, inpatient therapies and response, discharge medications with durations, pending tests, follow-up appointments, and return precautions.

Draft a discharge summary for myocardial infarction managed with PCI and drug-eluting stent placement; include cath findings, complications, inpatient course, discharge medications (DAPT, statin, beta-blocker, ACEi/ARB), cardiac rehab referral, and follow-up plan.

Draft discharge instructions for a patient hospitalized with acute decompensated heart failure; include daily weights, sodium and fluid restriction amounts, medication list with dosing, signs of worsening heart failure, follow-up appointments, and lab monitoring plan.

Draft discharge instructions for an asthma exacerbation; include controller and reliever regimen, steroid taper schedule, spacer technique, trigger avoidance, a written asthma action plan, return precautions, and follow-up timing.

Draft a patient handout on managing high blood pressure in plain language; explain what BP numbers mean, key lifestyle steps (DASH diet, sodium limits, alcohol moderation), home BP monitoring instructions, medication adherence tips, and when to call the doctor.

Draft a patient handout for type 2 diabetes education in plain language; cover A1c goals, the plate method, physical activity targets, self-monitoring of blood glucose, hypoglycemia signs and the 15-15 rule, foot care basics, and a vaccination checklist.

Draft a summary of the latest CDC and WHO guidelines for managing community-acquired pneumonia in adults, including empiric antibiotic choices, duration of therapy, and follow-up recommendations.

Draft a plain-language overview of the ADA and AACE guidelines for diabetes management, focusing on A1c goals, weight management, and the use of GLP-1 receptor agonists and SGLT2 inhibitors.

Draft a summary of the 2024 USPSTF breast cancer screening recommendations, including updated screening intervals, risk-based approaches, and the role of MRI for high-risk patients.

Draft a concise summary of NCCN guidelines for melanoma management, including staging, surgical margins, adjuvant therapy, and checkpoint inhibitor recommendations.

Draft treatment alternatives for community-acquired MRSA skin infections in patients allergic to sulfa drugs; include oral and IV options, dosing, and duration.

Draft treatment alternatives for patients with type 2 diabetes who are unable to tolerate GLP-1 receptor agonists due to nausea; include medication substitutions and lifestyle recommendations.

Draft a summary of options for treating refractory depression, comparing ketamine infusions, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT).

Draft treatment options for advanced prostate cancer, including hormonal therapy, radiopharmaceuticals, and novel androgen receptor pathway inhibitors.

Draft a summary of recent research on mRNA vaccine technology beyond COVID-19, including applications in oncology and autoimmune disease prevention.

Draft an easy-to-understand overview of long COVID research, summarizing major symptoms, hypothesized mechanisms, and emerging treatment approaches.

Draft a summary of current research on Alzheimer’s disease biomarkers, including amyloid and tau imaging, and discuss how they influence diagnosis and trial design.

Draft an explanation of the interaction between warfarin and antibiotics such as ciprofloxacin or TMP-SMX, including INR effects and management recommendations.

Draft a summary evaluating drug interactions for patients taking Paxlovid and common cardiovascular drugs; include mechanism and recommended dose adjustments.

Draft a summary of the common and serious side effects of semaglutide, including GI intolerance, gallbladder disease, and thyroid-related warnings.

Draft an overview of potential side effects associated with long-term corticosteroid use, including osteoporosis, glucose intolerance, and adrenal suppression.

Draft a summary of essential lab tests to order in suspected acute pancreatitis, including amylase, lipase, liver enzymes, and metabolic panels, with interpretation guidance.

Draft laboratory workup recommendations for suspected hypothyroidism, including TSH, free T4, thyroid antibodies, and when to consider secondary causes.

Draft an explanation of which labs should be monitored in patients receiving methotrexate therapy, including CBC, LFTs, renal function, and frequency of monitoring.

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Research Article: Clinical study of the preventive effect of pulsed radiofrequency and continuous epidural block on postherpetic neuralgia: a randomized controlled trial

Date Published: 2026-05-26

Abstract:
In this study, patients with acute herpes zoster neuralgia were respectively treated with continuous epidural block and pulsed radio frequency therapy to compare the similarities and differences of the two treatment methods in preventing the incidence of PHN, as well as the efficacy of acute herpes zoster neuralgia and observe the surgical complications. Ninety patients with herpes zoster neuralgia whose course of disease was less than 1 month were randomly divided into two groups according to the type of surgery: Continuous Epidural Block (CEB group) and Pulsed Radio Frequency (PRF group). The incidence of PHN in January, March and June was recorded. VAS scores, PSQI scores and the dosage of gabapentine capsules and Tramadol hydrochloride sustained-release tablets were recorded before surgery and 1 day, 1 week, 1 month, 3 months and 6 months after surgery. Peripheral blood Gal-3 and IL-6 levels before surgery, 1 week, 2 weeks and 4 weeks after surgery; Surgical complications; The duration of hospital stay and so on were used to evaluate the clinical effect of the operation. The incidence of PHN in CEB group at 1 month, 3 months and 6 months after surgery was lower than that in PRF group, and the differences were statistically significant ( P <?0.05). Pain intensity and PSQI were decreased in all patients after treatment. Compared with PRF group, VAS score and PSQI in CEB group decreased at 1 week, 1 month, 3 months and 6 months after surgery, and the differences were statistically significant ( P <?0.05). Compared with before treatment, the levels of Gal-3 and IL-6 in peripheral blood of all patients were decreased after treatment, and the differences were statistically significant ( P <?0.05). Compared with PRF group, peripheral blood Gal-3 and IL-6 levels in CEB group decreased at 1 and 4 weeks after treatment, and the differences were statistically significant ( P <?0.05). The doses of gabapentin capsules and Tramadol hydrochloride sustained-release tablets in CEB group were lower than those in PRF group at 1 month, 3 months and 6 months after surgery, and the differences between the two groups were statistically significant ( P <?0.05). There was one patient with puncture site infection in the CEB group, and the hospital stay in the CEB group was longer than that in the PRF group. Both methods can significantly relieve the pain of patients with acute herpes zoster neuralgia and reduce the incidence of PHN, but there is a risk of puncture site infection., and long hospital stay. PRF treatment has short hospital stay, less injury and strong repeatability.

Introduction:
Herpes zoster (HZ) is an infectious disease caused by varicella-Zoster virus (VZV) invading the human body and latent in the neurons of sensory ganglia such as cranial and dorsal root ganglia. When the human immune system is reduced, the latent virus is reactivated., and the accompanying pain is called herpes zoster neuralgia ( 1 – 4 ). Postherpetic neuralgia (PHN) is the most common complication of herpes zoster ( 5 – 7 ). The clinical manifestations are erythema and clustered blisters with banded distribution…

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