improved_graphs.md

Improved versions of all the additional visualisations, based on refinement principles to enhance clarity and usability.

High Level Overview

graph TD
    classDef clinical fill:#e3f2fd,stroke:#1976d2
    classDef finding fill:#f3e5f5,stroke:#7b1fa2
    classDef action fill:#e8f5e9,stroke:#388e3c
    
    Start[Patient Presentation]:::clinical
    
    subgraph Key Findings
        N[Neurological<br/>Progressive bilateral LRPN]:::finding
        V[Vascular<br/>Arterial flow abnormalities]:::finding
        S[Systemic<br/>Immune activation markers]:::finding
    end
    
    subgraph Main Hypotheses
        H1[Autoimmune Process]:::clinical
        H2[Paraneoplastic]:::clinical
        H3[Vascular Contribution]:::clinical
    end
    
    subgraph Priority Actions
        A1[Autoimmune Testing]:::action
        A2[Cancer Screening]:::action
        A3[Vascular Studies]:::action
    end
    
    Start --> N & V & S
    N & S --> H1
    S --> H2
    V --> H3
    
    H1 --> A1
    H2 --> A2
    H3 --> A3
    
    note[High-level overview showing main findings,<br/>working diagnoses, and next steps]

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Enhanced Temporal Progression

gantt
    title Disease Evolution & Key Findings
    dateFormat YYYY-MM
    axisFormat %Y-%m
    
    section Clinical Course
    Initial Symptoms    :milestone, m1, 2023-06,1d
    Disease Progression :active, 2023-06, 2025-01
    Current Status     :milestone, m2, 2025-01,1d
    
    section Key Events
    MRI (Disc disease)           :2023-06, 1M
    First NCS (Left LRPN)        :crit, 2023-10, 1M
    CSF Analysis (OGBs+)         :crit, 2024-07, 1M
    Vascular Studies             :2024-12, 1M
    Latest NCS (Bilateral)       :crit, 2025-01, 1M
    
    section Progression Notes
    Initial Unilateral       :done, 2023-06, 2024-07
    Systemic Features        :active, 2024-07, 2024-12
    Bilateral Involvement    :active, 2024-12, 2025-01

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Detailed Clinical Findings

graph TB
    classDef clinical fill:#e3f2fd,stroke:#1976d2
    classDef finding fill:#f3e5f5,stroke:#7b1fa2
    classDef critical fill:#ffebee,stroke:#c62828
    
    subgraph Neurological["Neurological Findings"]
        N1[Initial Left LRPN]:::finding
        N2[Severe Denervation]:::finding
        N3[Progression to Bilateral]:::critical
        
        note_N[Key Point:<br/>Atypical progression<br/>suggests systemic process]
    end
    
    subgraph Laboratory["Laboratory Evidence"]
        L1[Matched OGBs]:::critical
        L2[CSF Protein ⬆️]:::critical
        L3[Normal WCC]:::finding
        
        note_L[Significant:<br/>Dramatic protein rise<br/>suggests inflammation]
    end
    
    subgraph Imaging["Imaging Results"]
        I1[No Nerve Compression]:::finding
        I2[Vascular Changes]:::finding
        I3[No Active Vasculitis]:::finding
        
        note_I[Consider:<br/>Vascular contribution<br/>to progression]
    end
    
    N1 --> N2 --> N3
    L1 --> L2
    I1 --> I2 --> I3
    
    N3 -.-> L1
    L2 -.-> I2

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Prioritised Investigation Pathways

graph LR
    classDef urgent fill:#ffebee,stroke:#c62828
    classDef priority fill:#fff3e0,stroke:#ef6c00
    classDef routine fill:#e8f5e9,stroke:#388e3c
    
    subgraph "Priority 1: Autoimmune"
        A1[ANA/ANCA Panel]:::urgent
        A2[Serial NCS]:::urgent
        A3[CSF Analysis]:::urgent
    end
    
    subgraph "Priority 2: Oncological"
        O1[Paraneoplastic Screen]:::priority
        O2[Colonoscopy]:::priority
        O3[PET Follow-up]:::priority
    end
    
    subgraph "Priority 3: Vascular"
        V1[Thrombophilia Screen]:::routine
        V2[Vascular Imaging]:::routine
        V3[Flow Studies]:::routine
    end
    
    A1 & A2 & A3 --> AD[Autoimmune<br/>Decision]
    O1 & O2 & O3 --> OD[Oncological<br/>Decision]
    V1 & V2 & V3 --> VD[Vascular<br/>Decision]
    
    note[Color indicates urgency:<br/>Red = Immediate<br/>Orange = Soon<br/>Green = Routine]

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I'll adapt the visualizations following this feedback, starting with standardized styling and layered complexity.​​​​​​​​​​​​​​​​

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These adapted visualizations incorporate the feedback with:

1. Standardized Elements:

   • Consistent color scheme across diagrams
   • Clear annotations explaining significance
   • Unified terminology

2. Layered Complexity:

   • Overview diagram for high-level understanding
   • Detailed progression timeline
   • Specific finding relationships
   • Prioritized action pathways

3. Stakeholder-Specific Features:

   • Clinical annotations for specialists
   • Clear progression markers for patients
   • Priority levels for administrative planning

4. Integrated Next Steps:

   • Clear action priorities
   • Decision points highlighted
   • Critical findings emphasized

Would you like me to:

1. Create simplified versions for patient communication?
2. Add more detailed clinical annotations?
3. Develop additional specialist-specific views?
4. Modify any of the current visualizations?​​​​​​​​​​​​​​​​