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Think in Pathways.
Not Lists.

MedNext Interactive Clinical Pathways walk you through the decision points a consultant makes. Follow the branches. Understand the reasoning. Build a clinical mind — not just a fact bank.

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Clinical Pathways
86
Decision Nodes
Evidence
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Featured Pathway

🫀 Chest Pain — Worked Pathway

A static preview of how MedNext pathways guide your clinical thinking from presentation to management.

Presenting Symptom: Chest Pain
Initial Assessment
ABC stabilisation12-lead ECGTroponin T/IHistory + Risk Factors
ECG + Troponin Interpretation → Branch
Branch 1
STEMI
ST elevation ≥1mm in 2 contiguous leads
Activate cath lab (Door-to-balloon < 90 min)
Aspirin 300mg + P2Y12 inhibitor
Heparin / LMWH
Primary PCI preferred over thrombolysis
Branch 2
NSTEMI / UA
Troponin rise ± ST depression / T-wave changes
GRACE score risk stratification
Dual antiplatelet + anticoagulation
Invasive strategy if high risk
Ischaemia-guided if low risk
Branch 3
Non-Cardiac Chest Pain
Normal ECG + Troponin negative × 2
PE — D-dimer / CTPA
Dissection — CTA chest
GORD / oesophageal spasm
MSK / costochondritis
🔓 Full interactive version with 12 decision nodes available on MedNext — Create free account

All Clinical Pathways

Eight high-yield presentations. Fully interactive on MedNext. Built with consultant-level clinical reasoning.

🫀Cardiology

Chest Pain — Cardiac vs Non-Cardiac

STEMI vs NSTEMI vs non-cardiac. Troponin kinetics, ECG interpretation, risk stratification, and management pathways.

12 decision nodesExplore →
😮‍💨Respiratory

Acute Dyspnoea — Respiratory Failure Differential

Type 1 vs Type 2 respiratory failure. APO vs PE vs pneumothorax vs exacerbation. ABG-guided branching.

10 decision nodesExplore →
🧠Neurology

Altered Consciousness — GCS Approach & Differentials

Metabolic, structural, and toxicological causes. GCS components, pupil assessment, and escalation decision nodes.

14 decision nodesExplore →
🤢Surgery

Acute Abdomen — Surgical vs Medical

Localisation, guarding, rigidity. Surgical emergencies vs medical mimics. Investigation sequence and referral thresholds.

11 decision nodesExplore →
🩸Gastroenterology

Upper GI Bleed — Risk Stratification & Management

Rockall score, Blatchford score, PPI protocol, endoscopy timing, and massive haemorrhage protocol triggers.

9 decision nodesExplore →
🧪Critical Care

Sepsis Protocol — Sepsis 6 & Escalation

SIRS vs sepsis vs septic shock. Sepsis 6 bundle. Lactate interpretation. ICU escalation criteria.

8 decision nodesExplore →
👶Paediatrics

Febrile Child — Meningitis vs UTI vs Viral

Traffic light system, non-blanching rash, IAP feverish child guidance, LP decision, and empirical antibiotic choice.

10 decision nodesExplore →
💊Toxicology

Drug Overdose — Toxidrome Identification

Opioid, sympathomimetic, cholinergic, anticholinergic, and serotonin toxidromes. Antidote selection and monitoring.

12 decision nodesExplore →

Why Pathways Beat Memorisation

Clinical exams test reasoning, not recall. A pathway forces you to understand why each investigation is ordered and what its result changes. That is what marks the difference between a good candidate and a top score.

Each MedNext pathway is built around a real clinical scenario, validated against current NMC, ICMR, ESC, and WHO guidelines. You follow the branches, make decisions, and receive immediate feedback on your reasoning at each node.

Start with Chest Pain Pathway →
Decision-Based Learning
Each node asks you to make a decision before revealing the next step. Active engagement drives deeper retention.
Consultant Reasoning
Annotations at each branch explain the clinical reasoning — not just what to do, but why.
Guideline-Linked
Every management recommendation links to the source guideline. Understand the evidence, not just the answer.
Exam-Ready
Pathways mapped to NEET-PG, INI-CET, NEET-SS, NEXT UG, and FMGE clinical vignette question patterns.

Access All Clinical Pathways on MedNext

Free with a MedNext account. Start with Chest Pain and work through every high-yield presentation.

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