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| title: Thyroid Initial Visit | |
| emoji: 🦋 | |
| colorFrom: pink | |
| colorTo: indigo | |
| sdk: gradio | |
| sdk_version: 5.5.0 | |
| python_version: "3.11" | |
| app_file: app.py | |
| pinned: false | |
| license: mit | |
| # Thyroid Initial-Visit Note Generator | |
| 4-section structured note for thyroid initial visit at endocrine / family-medicine outpatient, generated from form input. Phenotype-driven order selection (hyperthyroid / hypothyroid / goiter-nodule / abnormal-lab). Built-in ACR TI-RADS calculator on Tab 2. | |
| ## Output structure | |
| 1. 🚨 **Red flags** (conditional — only shown when triggered: thyroid storm, myxedema coma, airway compromise, suspicious malignancy on exam, sight-threatening Graves orbitopathy) | |
| 2. **History + ROS narrative** (phenotype-aware, includes meds/exposures and women-specific data) | |
| 3. **Physical examination** findings | |
| 4. **Initial workup plan**: A) checklist of suggested orders B) one-line narrative for HIS paste C) patient instructions D) brief differential and assessment thinking | |
| Phenotype-driven Section 4 orders: | |
| - Hyper → TSH, FT4, T3, TRAb, CBC, AST/ALT/bili (baseline before ATD), ECG | |
| - Hypo → TSH, FT4, anti-TPO, ± anti-Tg, lipid, CBC, Na/Cr | |
| - Goiter/nodule → US, cervical LN US, ± thyroid scan if TSH suppressed | |
| - Abnormal lab → repeat in 4-6 weeks + conditional antibodies | |
| ## Tab 2: ACR TI-RADS calculator | |
| Pure local calculation (no API call). Inputs: composition / echogenicity / shape / margin / echogenic foci (multi-select, additive) + nodule size. Outputs TR1-5 category + size-based FNA / follow-up recommendation per ACR TI-RADS 2017. | |
| ## Setup | |
| Required Space secrets (Settings → Variables and secrets): | |
| - `ANTHROPIC_API_KEY` — Claude API key | |
| - `GDRIVE_CLIENT_ID` — Google OAuth client ID (desktop type) | |
| - `GDRIVE_CLIENT_SECRET` — Google OAuth client secret | |
| - `GDRIVE_REFRESH_TOKEN` — obtained via `python get_refresh_token.py` locally | |
| Optional: | |
| - `THYROID_PASSWORD` — Gradio basic-auth password (username: `doctor`) | |
| - `GDRIVE_FOLDER_NAME` — default `Thyroid Initial Visits` | |
| - `THYROID_MODEL` — default `claude-sonnet-4-6` | |
| Without the three `GDRIVE_*` secrets, GDrive sync is disabled; manual `.md` download still works. | |
| ## Local run | |
| ```bash | |
| pip install -r requirements.txt | |
| export ANTHROPIC_API_KEY=sk-ant-... | |
| python app.py | |
| ``` | |
| > Not for clinical use without physician verification. | |