Input
220k
Output
3k
Steps
1
Tools
8
Latency
47.4s
Cost
$2.73
#1 Ran rg -n "Hugo|Marchetti|NSTEMI|gastrointestinal|GI bleed|endoscopy|antiplatelet|dual antiplatelet|DAPT" agent_memory 148,613 chars
Command command_execution
rg -n "Hugo|Marchetti|NSTEMI|gastrointestinal|GI bleed|endoscopy|antiplatelet|dual antiplatelet|DAPT" agent_memory
Result 4 lines
agent_memory/correspondence/patient/patient-portal-messages.md:4: Account: H. Marchetti — MRN R-487293012 agent_memory/correspondence/patient/patient-portal-messages.md:7: Thread: "Hugo Marchetti — Cardiac/GI care 2025-11-08 → 2025-12-01" agent_memory/correspondence/patient/patient-portal-messages.md:21:### Message 01 — Family update questions — Hugo Marchetti room 412 agent_memory/correspondenc…
#1 Ran find agent_memory -maxdepth 2 -type f | sort | head -200
Command command_execution
find agent_memory -maxdepth 2 -type f | sort | head -200
#1 Ran find agent_memory -type f | sort | rg "(discharge|egd|endosc|gi|bleed|marchetti|hugo)" 469 chars
Command command_execution
find agent_memory -type f | sort | rg "(discharge|egd|endosc|gi|bleed|marchetti|hugo)"
Result 7 lines
agent_memory/clinical/specialty/gi-consult-egd-2025-11-21.md agent_memory/correspondence/patient/patient-symptom-journal-hugo.md agent_memory/memory/conditions/antiplatelet-gi-bleed-reference.md agent_memory/memory/profiles/hugo-marchetti-patient-profile.md agent_memory/tests/imaging/cxr-day0-report.md agent_memory/tests/imaging/echo-day2-report.md agent_memory/tests/reports/discharge-summary-2025…
#1 Ran rg -n \"EGD|endosc|gastritis|erosive|Forrest|H\\. pylori|ibuprofen|ticagrelor|clopidogrel|second discharge|re-discharge|readmission|GI bleed… 121,021 chars
Command command_execution
rg -n \"EGD|endosc|gastritis|erosive|Forrest|H\\. pylori|ibuprofen|ticagrelor|clopidogrel|second discharge|re-discharge|readmission|GI bleed\" agent_memory -g \"*.md\"
Result 2 lines
agent_memory/correspondence/patient/patient-symptom-journal-hugo.md:59:At 8 PM I took my first **ticagrelor**, the loading dose: two of the pink-and-white pills, I think 180 mg total. They told me I will take this twice a day. The pharmacist on the floor, a quiet woman with reading glasses pushed up onto her hair, walked through every pill with me like a stagehand walking through an act: agent_mem…
#1 Ran nl -ba agent_memory/memory/conditions/antiplatelet-gi-bleed-reference.md | sed -n '450,476p' 2,441 chars
Command command_execution
nl -ba agent_memory/memory/conditions/antiplatelet-gi-bleed-reference.md | sed -n '450,476p'
Result 8 lines
450 --- 451 452 ## 29. Notes on personal experience 453 454 This reference accumulated as I worked through H.M.'s case. I recommend colleagues maintain similar reference files as case-driven studying — the value is not in the content but in the structure of *this is what I needed when I needed it*. Reference files written by yourself, for yourself, get used. 455 456 --- …
#1 Ran nl -ba agent_memory/clinical/specialty/gi-consult-egd-2025-11-21.md | sed -n '1,260p' 27,494 chars
Command command_execution
nl -ba agent_memory/clinical/specialty/gi-consult-egd-2025-11-21.md | sed -n '1,260p'
Result 12 lines
1 # Riverside General Hospital — Department of Gastroenterology — Inpatient Consultation + EGD — 11/20–11/21/2025
2
3 ```
4 [Epic — GI Consult v4.2]
5 [Epic — EGD Procedure Report v6.0]
6 ```
7
8 **Patient:** Marchetti, Hugo
9 **MRN:** R-487293012
10 **DOB:** 1973-04-22 (age 52)
11 **Sex:** M
12 **Location at consult:** Riverside General —… #1 Ran nl -ba agent_memory/tests/reports/discharge-summary-2025-11-22.md | sed -n '1,260p' 23,134 chars
Command command_execution
nl -ba agent_memory/tests/reports/discharge-summary-2025-11-22.md | sed -n '1,260p'
Result 9 lines
1 ```
2 ================================================================================
3 Epic — Discharge Summary v8 — generated 2025-11-22 13:42 — User: QOKAFOR
4 ================================================================================
5 ```
6
7 # Riverside General Hospital — Discharge Summary — 11/22/2025
8
9 **Department:** Internal Medic… #1 Ran nl -ba agent_memory/tests/reports/discharge-summary-2025-11-12.md | sed -n '120,190p' 4,934 chars
Command command_execution
nl -ba agent_memory/tests/reports/discharge-summary-2025-11-12.md | sed -n '120,190p'
Result 5 lines
120 Plt (k/uL) 224 — — 218 — 212 215 221 121 MCV (fL) 88 — — 88 — 87 87 87 122 Na (mEq/L) 139 — — 140 — 139 140 139 123 K (mEq/L) 4.0 — — 4.1 — 4.2 4.0 4.1 124 Cl (mEq/L) 10…
Answer
Hugo’s initial post-NSTEMI DAPT was **aspirin 81 mg daily + ticagrelor 90 mg BID**.
At the GI-bleed readmission:
- **Endoscopy finding:** erosive gastritis in the gastric antrum, with shallow erosions/friable mucosa; **no active bleeding, no ulcer, no varices**.
- **Immediate medication exposure:** **ibuprofen 600 mg twice on 2025-11-18** for back pain, while on DAPT.
- **Second-discharge antiplatelet change:** **ticagrelor was stopped and replaced with clopidogrel 75 mg daily**, while **aspir…
Judge: covers all asked facts