Ruqelo helps clinicians reason through acute abdominal presentations, prepare structured surgical referrals, and practice the conversation with a simulated surgical registrar.
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Refaro · Surgical referral brief · Acute appendicitis
Clinical question: Likely appendicitis — surgical review requested Acuity: Urgent — 18h RIF pain, guarding, rebound Key findings: - Alvarado score: 8/10 - WBC 14.2, temp 37.9°C - Localised guarding McBurney's point Checklist for registrar: - NBM status: not yet documented - Anticoagulation: none - Last oral intake: 6 hours ago - Imaging: USS pending What we need: Surgical assessment, theatre planning
A 28-year-old male presents with 18 hours of periumbilical pain that has migrated to the right iliac fossa. Temperature 37.9°C, HR 96, localised guarding at McBurney's point. WBC 14.2. Rebound tenderness present.
Appendicitis is likely but not confirmed. The surgical registrar needs to know: Alvarado score, imaging, NBM status, antibiotic timing, anticoagulation, and operative risk before they can make a decision. Getting the referral right matters.
With the surgical differential structured, assessment note drafted, and referral brief prepared — the clinician can focus on the patient and the actual call to the surgical team.
Capture history, examination, and investigation results by voice or text.
Alvarado/AIR score awareness, red flags, and imaging considerations.
Structured assessment notes ready for independent verification.
Complete brief with NBM, antibiotics, anticoagulation, and acuity.
Rehearse before the real referral conversation.
Clinician verification required
Ruqelo is designed for licensed healthcare professionals. All outputs — including surgical reasoning drafts, assessment notes, and referral briefs — require independent clinical verification before any action. Ruqelo does not diagnose, prescribe, or make operative decisions.
Ruqelo is a software tool for licensed healthcare professionals. All outputs require independent clinical verification before any action. Content on this page is illustrative only and does not constitute medical advice, diagnosis, or treatment.