What happens
inside every case.
Seven features that work together, from the first vignette to the post-case debrief.
A case ready in under three minutes
From a short patient prompt to a full interactive case in under three minutes, with clinical decision points, cited feedback, and a fresh variation every run.
- Start from the patient or scenario you want to think through right now.
54-year-old brought to the ED for worsening confusion, agitation, and tremor over the last two days.
The vignette becomes teaching goals: what should shape the differential, redirect the workup, and define the key decisions.
A clinical knowledge graph structures the case, while an evidence library anchors the workup, feedback, and case logic in real guidance.
Those pieces become a clinically rich case with plausible results, consequences, and scoring that responds to what the learner does.
Reason through the case, not just the answer
aditum walks findings, differential, tests, and intervention inside one case, with feedback at each module.
54-year-old with alcohol use disorder is brought to the ED for agitation, tremor, diaphoresis, and worsening confusion 48 hours after abruptly stopping alcohol.
- PMHx
- Alcohol use disorder with prior withdrawal admission, hypertension
- Medications
- Amlodipine, folate
- Vitals
- T 37.0 C, HR 122, BP 168/96, RR 24, SpO2 97% on room air
- Exam
- Coarse tremor, diaphoresis, disorientation, visual hallucinations, no focal neurologic deficit
Findings
Frame the case before the workup narrows.
Moderate-to-severe withdrawal often worsens 24 to 72 hours after cessation. That timing should move withdrawal to the front of the frame before any lab returns.
Open the exact line that changes management
Every piece of feedback ties to a specific guideline excerpt, with the source, society, and year visible right at the decision.
- Read the exact excerpt without leaving the case.
- Follow the full source when you want more context.
Low-risk acute chest pain → use structured risk assessment first; urgent testing not routinely required.
The right answer changes with the patient
The same presentation in pregnancy, kidney injury, or hemodynamic instability leads to a different workup. aditum names the factor that redirects the plan and attaches the supporting reference.
- See the patient detail that redirects the default path.
- Trace the adjusted recommendation back to the supporting guidance.
No competing constraint
When kidney injury raises concern about iodinated contrast, evidence-based pathways often favor ventilation-perfusion imaging if the patient is stable enough for nuclear imaging.
Build your clinical library as you go
Bookmark any decision, cited excerpt, or feedback note from the case. Tag it by rotation, topic, or competency for quick recall.
- Save the reasoning behind a decision, not just the diagnosis.
- Organize by rotation, topic, or competency.
Use pregnancy-adapted pathway and D-dimer to avoid unnecessary imaging in stable patients.
Use a pregnancy-specific diagnostic pathway and choose imaging with modern low-radiation protocols when it is still needed.
A debrief on your reasoning, not just your score
After each case, see where your reasoning held, where stewardship slipped, and what to tighten next.
It is a debrief, not a score.
- Compare your path against higher-value alternatives for this patient context.
- Leave with one concrete focus for the next case.
Once heavy alcohol use and mental confusion coexist, keep Wernicke encephalopathy active in parallel and give thiamine early instead of treating it like a backup diagnosis.
Recognized the withdrawal window quickly, treated the highest-risk physiology first, and avoided low-yield imaging before the bedside pattern had been addressed.
See how one clinical feature shifts the differential
After the case, scrub through the clinical features one by one.
See how each finding has shifted the differential, and where your weighting matched the evidence.
See demo using the alcohol withdrawal case from earlier.
Diagnosis
Alcohol withdrawal with impending delirium tremens
Weight
Rationale
Prioritize. The 24 to 72 hour window is a classic fit for escalating withdrawal physiology.
Diagnosis
Wernicke encephalopathy
Weight
Rationale
Keep active. Heavy alcohol use keeps it active, but timing alone does less work than the mental-status change itself.
Diagnosis
Hypoglycemia or electrolyte-driven toxic-metabolic encephalopathy
Weight
Rationale
Still consider. Possible, but the clock since cessation contributes less than bedside glucose and electrolyte data.
Diagnosis
Intracranial process
Weight
Rationale
Deprioritize. Timing after alcohol cessation does little to support a structural CNS cause on its own.
This timing should move alcohol withdrawal to the front while keeping Wernicke active in parallel because the confusion still needs thiamine coverage.
Same platform. Different depth.
The case arc stays the same. The pacing, scaffolding, and depth of feedback adjust to where the learner is.
Visible reasoning at each step
Work through cases with visible reasoning — guided prompts, annotated decisions, and explanations that show not just the right answer, but why it is right at each step.
Cases that sharpen clinical decision making
Work through cases where new information changes the picture. Each step is designed to sharpen clinical decision making around prioritization, stewardship, and management.
Cases on demand for teaching
Generate cases on demand for teaching rounds, prep sessions, or board review. Each case comes with cited references you can use to anchor discussion — without building the material yourself.
Start your first case
Build clinical reasoning with cited guidance you can defend.