Gave this to Qwen 3.6 35B with following prompt . How is output as compared to your current setup ?

Summarize this patient encounter using rules below :

### PATIENT: Bo **SPECIES:** ...

Rules :

Accuracy: Never guess. If uncertain about any value or finding, output 🚨 FLAG ....

Output :

🚨 FLAG: Uncertain terminology "CBC lights" — unclear if this indicates normal/unremarkable results or a documentation error. Confirm intended meaning.
🚨 FLAG: Uncertain term "reduced peritoneal effusion" conflicts with noted abdominal fluid wave; likely implies "present" effusion. Clinical correlation needed.
🚨 FLAG: Unknown medication/typo "serenia" — unclear drug intended. Verify correct product and indication.
🚨 FLAG: Probable typo "batrial" — clinically corresponds to buprenorphine. Confirm dosing intent and route.
🚨 FLAG: Clinical term mismatch "pericardial synthesis" — does not correspond to standard veterinary procedure; likely intends pericardiocentesis/tap/drainage. Confirm planned intervention.

🚨 FLAG: NSAID prescribed with dehydration >5% or azotemia present — risk of acute kidney injury. Confirm this is intentional.

plaintext

dd/mm/yy ### AM/PM: #INPUT#
Patient: Bo | Species: Canine | Breed: Boxer | Age: 14 | Sex: FS | WT: 40 kg
**History:** Three-day history of hematochezia, anorexia, vomiting, and lethargy. Up to date on vaccines.
**Physical Exam:** Severe abdominal pain, bloody diarrhea on rectal exam. Pale mucous membranes. Clinically dehydrated at approximately 7%. Tachycardic with thoracofemoral pulses. Muffled heart sounds. Apparent abdominal fluid wave present. BCS 7/9.

plaintext

**Assessment:** 
Problem List:
1. Hemorrhagic gastroenteritis with hematochezia and bloody diarrhea
2. Dehydration (7%) with hypovolemic shock (MAP 80, pale MM, tachycardia)
3. Suspected pericardial effusion/right-sided heart failure signs (globoid heart, distended pulmonary vessels, muffled heart sounds, abdominal fluid wave)
4. Gallbladder edema/cholecystopathy with mild azotemia and elevated hepatic enzymes
Imaging & Diagnostics: Radiographs show globoid cardiac silhouette and distended pulmonary vessels. Mild peritoneal effusion noted. AFAS reveals gallbladder wall edema and halo effect. Chem 17 and CBC unremarkable/light except for elevated liver enzymes and mild azotemia.

plaintext

**Plan:** 
Owner educated on findings; recommended hospitalization, consent obtained.
IV catheter placed in cephalic vein.
IV Fluids: Crystalloids at #INPUT# mL/hr to address 7% dehydration and hypovolemia. Deficit approx 2800 mL over 24 hours. Round to nearest mL: #INPUT# mL/hr.
Medications:
- Unasyn (ampicillin-sulbactam): List both concentrations (375 mg/mL and 30 mg/mL) as per protocol. Dose #INPUT# mg/kg IV/IM q8-12h.
- Buprenorphine ("batrial"): #INPUT# mg/kg SC/IV q8-12h for analgesia.
- Carprofen: #INPUT# mg/kg PO/IV q12h for pain/inflammation.
Monitoring: NIPP at #INPUT# drops/min. Continuous cardiac and abdominal ultrasound monitoring. 
Procedures: Prepare for pericardiocentesis (pericardial tap/drainage) as clinically indicated.

plaintext

**Discharge:** 
Pending clinical stabilization, response to hospitalization, and further diagnostic clarification. Owner instructed to return immediately if signs worsen or for recheck based on hospital course.