Built for Internal Medicine

Structured reasoning for complex patients.

From multisystem presentations and clinical scoring to structured documentation and specialist referral preparation — Ruqelo supports the analytical demands of internal medicine.

Used by physicians worldwide · 125 specialties · 10 languages

Savori · AKI on CKD · Cardiorenal syndrome

AKI staging: KDIGO stage 2 (Cr 198, baseline 120)
Likely cardiorenal — precipitant unclear

Medication review:
- Metformin: hold — AKI risk
- Ramipril: hold — AKI + hyperkalaemia risk
- Furosemide: reassess — fluid status vs perfusion

Fluid strategy: cautious diuresis vs resuscitation
Nephrology consult: creatinine trend, urine output, baseline needed

Uncertainty: Precipitant not confirmed — structured monitoring plan required
Clinical scenario

Presentation

A 74-year-old female is admitted with 3 days of progressive dyspnoea, bilateral leg swelling, and reduced urine output. Background of heart failure, CKD stage 3, and type 2 diabetes. Creatinine has risen from baseline 120 to 198 µmol/L. She is on metformin, ramipril, and furosemide.

The challenge

This is AKI on CKD, likely cardiorenal — but the precipitant is unclear. Medication review, fluid balance, and the question of whether to hold ACE inhibition and diuretics all need structured reasoning. A nephrology consult may be needed.

How Ruqelo supports

  • Savori: AKI staging, cardiorenal differential, medication review, KDIGO awareness, fluid strategy reasoning
  • Klaero: structured ward round note and admission clerking
  • Lysen: voice-based case discussion during ward round
  • Refaro: nephrology referral preparation, anticipates creatinine trend, baseline, urine output, medication questions

What the clinician can do next

With AKI staging structured, medications reviewed, ward round note drafted, and nephrology referral prepared — the clinician can focus on bedside assessment and the specialist conversation.

How Ruqelo fits the internal medicine workflow

Describe the admission case

Capture history, examination, and investigation findings by voice or text.

Reason through the differential and scoring with Savori

Structured AKI staging, medication review, and clinical score awareness.

Document ward round note with Klaero

Specialty-formatted notes in your preferred style and language.

Prepare nephrology/cardiology referral with Refaro

Structured brief anticipating the questions the receiving team will ask.

Practice the referral conversation

Rehearse with a simulated specialist before the real call.

Modes built for internal medicine

Savori for IM
  • Complex multisystem reasoning
  • KDIGO AKI staging
  • Clinical score awareness (CURB-65, qSOFA, NEWS2)
  • Medication interaction reasoning
Klaero for IM
  • Ward round notes
  • Admission clerking
  • Discharge summaries
  • Outpatient clinic letters
Lysen for IM
  • Ward round voice discussion
  • Complex case reasoning partner
  • Consultation Mode for quiet clinical rooms
Refaro for IM
  • Nephrology, cardiology, respiratory referrals
  • MDT preparation
  • Practice Call with simulated specialist

Internal medicine use cases

Acute medical admissions
AKI and electrolyte disorders
Heart failure and cardiorenal
Sepsis and infection management
DKA and endocrine emergencies
Anaemia and GI bleed
Respiratory presentations
Complex polypharmacy review

Clinician verification required

Ruqelo is designed for licensed healthcare professionals. All outputs — including reasoning drafts, scoring suggestions, documentation, and referral briefs — require independent clinical verification before any action. Ruqelo does not diagnose, prescribe, or replace clinical judgment.

Frequently asked questions

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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.