1
ConsiderMyasthenia gravis
Guideline-recommendedSupportsFluctuating ptosis and diplopia, worse by evening.
SupportsProximal weakness that recovers with rest.
MissingAcetylcholine receptor antibodies still pending.
01 · Input
Your case
History, labs, report text
02 · Rules
Red flags
Specialist-written, run first
03 · Evidence layer
Disease packs + library
28 packs
Guidelines
Literature
HPO · LOINC
04 · Language
Model drafts
Replaceable; may cite only the evidence layer
05 · Verify
Citation check
Unsourced sentences removed
06 · Output
Cited differential
Top 5, with sources
When the case is too thin to rank, Cense asks up to three questions before it ranks anything.
Physician reports and expert review feed back into the evaluation set.
What a case review shows
01 · Input
Start from what is already in the chart
Type or paste the history and reports, or photograph a lab sheet. Direct identifiers are blocked before anything is uploaded.
New case
1 photo · OCR
Text only. Remove names and identifiers before you paste.
2
ConsiderMultiple sclerosis
Limited evidenceSupportsDiplopia can be an early presenting sign.
Argues againstWeakness that recovers with rest points away from a central lesion.
02 · Differential and why
Ranked candidates with a computed confidence
Up to five candidates from the covered diseases. Confidence is calculated from evidence coverage and rule hits rather than taken from the model.
03 · Missing and next tests
What is missing, and which test to order next
For each candidate, the tests that would rule it in or out, ordered by how much each one would change the ranking.
Acetylcholine receptor antibodies
Pending on the lab sheet; would raise or lower myasthenia gravis.
Repetitive nerve stimulation
If serology is negative.
Thyroid function
Already in the case.
Neuromuscular centerExample university center28 mi · Accepts referrals · Remote consult
Rare-disease centerExample regional center64 mi · Accepts referrals
04 · Refer
Where to refer
Rare-disease centers in the physician's region, with their referral criteria and, where offered, a remote-consult route.
05 · Out of scope
When the case does not fit
If the case does not match any covered disease, Cense reports that and lists what would help.
Not enough to go on yet. Here’s what would help.
- Add the timeline of symptoms, with onset and pattern.
- Paste recent labs, with units and dates.
- Attach imaging or pathology reports as text.