CGRA — Clinical Guidance Reference Agent

Surfaces relevant clinical guidelines from ICMR, MoHFW, NMC and Indian medical journals, matched to the patient in front of you.

Context: Salah Ahmed · Joint pain, family Hx arthritis

Guidelines matched to this visit

ICMR · Rheumatology, 2024

Referral criteria for suspected early inflammatory arthritis

Persistent joint swelling beyond six weeks with morning stiffness exceeding 30 minutes warrants rheumatology referral and serologic testing (RF, anti-CCP) prior to initiating disease-modifying therapy.

Indian Journal of Rheumatology, Vol. 19 · matched on symptom duration & stiffness pattern
NMC Standard Treatment Guidelines

Hypertension management in comorbid diabetes

For patients with concurrent Type 2 diabetes and hypertension, ACE inhibitors or ARBs are preferred first-line agents given renal-protective benefit, subject to individual contraindications.

MoHFW STG 2023 · matched on active problems: hypertension + diabetes
ICMR · Post-operative Rehabilitation

Criterion-based progression after ACL reconstruction

Progression through weight-bearing phases should be criterion-based — strength symmetry and pain-free range of motion — rather than fixed by elapsed time since surgery.

National rehabilitation protocol, 2022 revision · matched on surgical history

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All sources ICMR MoHFW / NMC Indian journals Society guidelines

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CGRA cites its sources for every answer. It supports clinical decision-making — it does not replace clinical judgement.

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