Recent Updates

Everything that's been added, rebuilt, or fixed.

56 deep-dives + 1 game

April 8, 2026

Amino Acid Catabolism & Liver Enzymes

Liver damage detector, AST:ALT ratio dashboard

Fatty Acid Catabolism & Ketogenesis

Beta oxidation OHOT machine, palmitic acid calculator, DKA management

Krebs Cycle & NADH Shuttles

Interactive cycle wheel, ATP calculator, shuttle comparison

Five Fates of Pyruvate & Alcohol Metabolism

Pyruvate crossroads hub, drink tracker

Galactose & Fructose Metabolism

Sugar processing plant, cataracts zoom

Glycolysis & Gluconeogenesis

10-step assembly line with ATP counter, poison buttons

Hemolytic Anemias & Coombs Test

Crime scene investigation mechanic, RBC mugshot gallery

Microcytic Anemias

Iron lab interpreter, thalassemia gene deletion counter

Macrocytic & Normocytic Anemias

MCV triage station, complement attack simulator

Hemostasis & Platelets

Wound healing timeline, bleeding pattern identifier

Platelet Plug Formation & Disorders

3-step platelet assembly line, Bernard-Soulier vs Glanzmann vs vWD vs TTP

Anti-Platelet Drugs & Coagulation Cascade

Interactive cascade diagram, drug target map

PKU & Amino Acid Disorders

Phenylalanine hydroxylase, newborn screening, dietary management

Post-MI Complications

Timeline of complications, Dressler's, papillary muscle rupture

Extraocular Muscles

CN III/IV/VI, eye movements, clinical testing

April 7, 2026

Prescryption Card Game

New medical card game — diagnose patients, outsmart The Attending

Cranial Nerve Lesions

Full redesign — battle cards, spacious board traps, new theme

Antidepressants

Battle cards, SS vs NMS comparison, emergency cards

Pregnancy Physiology

New theme, spacious layout, no more accordions

BCC vs SCC vs Melanoma — new theme, elimination game

Adrenal Adenomas

Conn vs Cushing vs Pheo — full redesign

MCV framework, drag-drop sorter, new theme

Seizures & Epilepsy

EEG viewer, AED tables, status epilepticus protocol

Demyelinating Diseases

MS vs GBS vs CIDP — decision tree, elimination game

Myasthenia vs Lambert-Eaton — new theme

Stroke Syndromes

Vascular territory map, crossed findings, new theme

Movement Disorders

Tremor demos, drug tables, Parkinson's vs essential tremor

Coagulation & Bleeding

Cascade diagram, mixing studies, disease cards

Battle cards, maneuver tables, new theme

Classic Derm Findings

20 pathognomonic findings, matching game, decision tree

Hepatitis Serologies

5 serology patterns, timeline, pattern matching game

Hypersensitivity I-IV

16-disease drag-drop sorting, Type II vs III deep-dive

22-feature sorting game, extraintestinal table

CSF patterns, age-based organisms, elimination game

Fibular Head Seesaw

Interactive seesaw diagram, muscle energy positioning

Sacral Torsions

4 torsion tabs with SVG diagrams, master reference grid

Walk the nephron — PCT, TAL, DCT, CD progressive unlock

EKG Interpretation

6-step systematic read, Big Six Rhythms, decision tree

HFrEF vs HFpEF, NYHA stepper, GDMT algorithm

Earlier

Low Energy State (ATP Depletion)

Cellular energy failure, ischemia cascade, reperfusion injury

Screening Tests & Study Design

Sensitivity, specificity, PPV/NPV, study types

Side-by-side comparison, anion gap, management protocols

Thyroid Disorders

Hyper vs hypo, Graves vs Hashimoto's, thyroid storm

Primary Immunodeficiency

B-cell, T-cell, combined, phagocyte, complement deficiencies

Opportunistic Infections

CD4 thresholds, AIDS-defining illnesses, prophylaxis

Catalase, coagulase, hemolysis patterns, toxins

The Big 5 Autoimmune Diseases

SLE, RA, scleroderma, Sjogren's, dermatomyositis

Mechanisms, spectrum, resistance, clinical pearls

Pre-renal, intrinsic, post-renal; staging, BUN/Cr, FENa

Electrolyte Disorders

Na, K, Ca, Mg, PO4 — causes, EKG changes, management

Nephrotic vs Nephritic

Protein vs blood, complement levels, biopsy patterns

Type 1, 2, 4 — pH, K+, urine pH, causes

Vaginitis, cervicitis, PID — wet mount, KOH, treatment

Acid-Base & ABGs

Systematic ABG interpretation, Winter's formula, compensation

Reversibility, PFTs, stepwise therapy, exacerbation management

CAP, HAP, atypical — organisms, imaging, empiric therapy