↑ JVP
bibasal crackles
pedal edema
holographic patient
instructor-driven · multi-user · full-fidelity
state → { scenario:"acute_dyspnea", stage:"static" }
68 F · acute breathlessness, worsening over 3 days · can't lie flat (sleeps on 3 pillows).
Hx: hypertension, prior MI. Afebrile. No purulent sputum.
The substrate supplies the patient + observable findings. It does not reason about the individual learner, that's the layer's job. →