RheumatologyTime-sensitivePlaintiff-side

Built for GCA + lupus + biologic-complication cases.
AI deposition trainer with ACR + EULAR depth.

Rheumatology medmal cases concentrate around missed GCA (vision loss), lupus nephritis workup delay, biologic-related opportunistic infections, ANCA vasculitis recognition, and scleroderma renal crisis. ACR + EULAR define the floors.

Try the 2-min Rheumatology demo → All specialties
6
Rheumatology failure modes
3
cited guidelines
1
signature impeachment trap

Why a rheumatology-specific trainer matters

Rheumatology cases turn on documented empiric steroids for suspected GCA (before biopsy), pre-biologic TB screening, lupus nephritis biopsy + treatment within weeks, and ACE inhibitor for scleroderma renal crisis regardless of renal function.

The 6 failure modes

Sev 10

Missed GCA — vision loss

New headache + jaw claudication + age>50; ESR/CRP not checked OR steroids delayed; permanent vision loss.

"I wanted to confirm with biopsy first."
Sev 9

Biologic — PJP / opportunistic infection

TNFi/rituximab/JAKi without PJP prophylaxis or TB screening.

"I didn't routinely screen for TB."
Sev 9

Lupus nephritis — workup delay

SLE with proteinuria; renal biopsy delayed; treatment delayed.

"She had a little proteinuria — I was going to recheck."
Sev 9

GPA / ANCA vasculitis — recognition delay

Sinusitis + hemoptysis + AKI; ANCA not checked.

"I treated her for sinusitis multiple times."
Sev 9

Scleroderma renal crisis — ACE-i held

Severe HTN + AKI in scleroderma; ACE held due to renal concerns.

"I was reluctant to push ACE because of her kidneys."
Sev 7

Methotrexate toxicity

No folate supplementation or CBC/LFT monitoring per ACR; pancytopenia.

"I forgot to prescribe folate."

The signature impeachment trap

"I wanted to confirm with biopsy first" vs ACR GCA standard

For GCA cases: lock the witness into "I wanted biopsy confirmation," then juxtapose against ACR + EULAR standard that empiric high-dose steroids must be started immediately on clinical suspicion to prevent vision loss.

"You wanted biopsy confirmation before steroids?" → "Yes."
"ACR + EULAR call for empiric steroids immediately on clinical suspicion of GCA?" → "Yes."
"Reason: biopsy takes time and vision loss is irreversible?" → "Yes."
"Your chart shows you waited [N] days for biopsy before starting steroids."

Why this lands: witness has framed diagnostic certainty as a substitute for vision-preserving empiric treatment.

The 3 cited guidelines

ACR/Vasculitis Foundation GCA GuidelineEmpiric steroid initiation + biopsy timing standards
ACR Lupus Nephritis GuidelineRenal biopsy + induction + maintenance therapy standards
ACR Biologics + Reproductive Health GuidelinesPre-biologic screening + concurrent meds + pregnancy

FAQ

Why does rheumatology need its own deposition trainer?

Rheum cases turn on documented empiric steroids (GCA), pre-biologic screening, lupus nephritis biopsy timing, and SRC ACE-i. ACR + EULAR are real published floors.

What guidelines does the AI cite?

ACR GCA Guideline, ACR Lupus Nephritis, ACR Biologics + Reproductive Health.

Does it work for defense expert prep?

Yes. Expert-prep mode against your defense rheumatologist.

Pricing?

Bundled in MedLegal AI Pro ($49/mo), Professional ($249/mo), or Firm ($499/mo).

Start with the 2-minute rheumatology demo

No signup, no mic. Cross-exam transfers to rheum — lock witness into the ACR empiric-treatment standards.

Run the 2-min demo → Start free 14-day trial