_log

Wiki Log

Chronological record of all operations. Append-only.

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[2026-05-04] init | Wiki Created

• Initialized Medicine Wiki for final MBBS exam preparation
• Created directory structure, SCHEMA.md, and scaffolding files
• Subjects: Medicine, Surgery, Pediatrics, Obs & Gyn, Psychiatry
• Ready for first source ingest

[2026-05-04] ingest | Shorter Oxford Textbook of Psychiatry (Schizophrenia)

• Source: sources/textbooks/shorter-oxford-schizophrenia.pdf
• Pages created: shorter-oxford-schizophrenia
• Pages updated: schizophrenia, clozapine, icd-10-schizophrenia-criteria, psychiatry-high-yield, _index.md
• Key takeaways: Detailed genetic risk stats (80% heritability), neurobiological findings (30% ventricular enlargement), and management nuances (Rapid neuroleptization not recommended, Calgary scale for depression). Updated prognosis data (14-16% full recovery).

[2026-05-05] refactor | Restructured pharmacological treatment in schizophrenia page

• Pages updated: schizophrenia, psychiatry-high-yield, _index.md
• Changes: Replaced scattered management section with clear 3-step algorithm (1st-line atypical → maintenance → clozapine for resistance), added drug tables with doses and key notes, monitoring schedule, expanded exam focus (pharmacology viva, OSCE, MCQ traps).

[2026-05-05] ingest | Schizophrenia and Related Disorders - Dr. Ajith Jayasekara

• Source: sources/lectures/ajith-jayasekara-schizophrenia-part-1.pdf and part-2.pdf
• Pages created: schizoaffective-disorder, ajith-jayasekara-schizophrenia-lecture
• Pages updated: schizophrenia, delusional-disorder, acute-and-transient-psychotic-disorder, icd-10-schizophrenia-criteria, clozapine, psychiatry-high-yield, _index.md
• Key takeaways: Comprehensive lecture covering “Social Drift” hypothesis, “Double hit” aetiology, and detailed clinical phases. Noted ⚡ CONTRADICTIONS in maintenance duration (3 years vs 1-2 years) and suicide risk (10% vs 5%). Added cardinal prodromal feature (functional decline) and 1-year duration for simple schizophrenia.

[2026-05-05] quality-audit | Wiki Quality Improvements & SCHEMA Update

• SCHEMA.md updated with 4 new rules:
  1. Writing Style section (flowing prose, abbreviation expansion, no skeletal sections, source-strictness)
  2. Design Principle #7: Source-strict — no LLM hallucination, use 📝 TODO: for gaps
  3. INGEST Protocol: Added mandatory completeness check (step 6) before moving on
  4. LINT Protocol: Added 4 new checks (thin pages, unexpanded abbreviations, skeletal management, bullet-point-only pages)
• Pages rewritten (expanded from skeletal bullet-point format to flowing prose):
  • delusional-disorder: 50 → 112 lines. Added differential diagnosis table, substantive management, 📝 TODO markers for source gaps.
  • acute-and-transient-psychotic-disorder: 35 → 115 lines. Added aetiology, differential diagnosis, prognosis, source notes.
  • schizoaffective-disorder: 39 → 112 lines. Added differential diagnosis, management detail, prognosis context.
  • morbid-jealousy: 43 → 116 lines. Added classification, differential diagnosis table, detailed management by type.
  • schizophrenia-vs-depression: 34 → 66 lines. Expanded comparison table (12 features), added Calgary Depression Scale detail.
• Abbreviations fixed in schizophrenia (17 abbreviations spelled out on first use), clozapine (3 abbreviations fixed).
• Key principle: All new content is strictly traceable to existing ingested sources. Gaps marked with 📝 TODO.

[2026-05-05] rewrite | Schizophrenia Page — Prose Rewrite

• Pages updated: schizophrenia
• Changes: Complete rewrite from bullet-point format to flowing prose (Wikipedia-style). Expanded from 215 → 279 lines. All abbreviations spelled out on first use. Every section now contains connected, explanatory paragraphs with reasoning. Drug tables, monitoring tables, and differential diagnosis table retained as structured data. All content strictly traceable to existing ingested sources — no new medical facts added.

[2026-05-05] lint | Full Wiki Lint + Fix Broken Links

• Trigger: Protocol 3 — LINT
• Issues found & fixed:
  • Fixed _overview.md — now reflects actual state (12 psychiatry pages, 3 sources)
  • Fixed psychiatry-high-yield.md — frontmatter updated field from 2026-05-04 → 2026-05-05
  • Created 9 missing pages to resolve broken wiki-links:
    • Conditions: mania, psychotic-depression, substance-induced-psychosis, organic-psychosis, dementia
    • Pathogens: cannabis
    • Drugs: risperidone, clomipramine, fluoxetine
  • Updated _index.md to include all new pages
• Open items (not fixable without new sources):
  • ⚡ CONTRADICTION: Suicide risk 5% vs 10%; maintenance duration 1–2 yr vs ≥3 yr
  • 4 empty exam-prep pages (medicine, surgery, pediatrics, obgyn) — no sources ingested yet
• Secondary fix: Found and created 2 more missing pages (delirium, depression) referenced in the new stub pages
• Pages created: 11
• Pages updated: _overview.md, _index.md, _log.md, psychiatry-high-yield.md