diff --git a/README.md b/README.md
index f69d06d274fdfd38171a2abafd1655189f86ddc1..7d423e287937db60a7f96bee3a23f3f14eaacdb7 100644
--- a/README.md
+++ b/README.md
@@ -1,8 +1,16 @@
----
-license: apache-2.0
-title: MediAssist v14.3 — Chat + RAG + PDF
-sdk: streamlit
-colorFrom: purple
-colorTo: indigo
-short_description: The MedicalAI system combines **ClinicalBERT**, **RAG retrie
----
\ No newline at end of file
+# MediAssist v14.4 — Stable (Router-powered)
+- Uses HF Router text-generation endpoint (default: GPT-OSS-120B)
+- Robust chat handler with non-JSON and 404 handling
+- RAG with unique IDs to prevent Chroma DuplicateIDError
+- OPD + Citations + PDF export
+- Diagnostics page for quick endpoint tests
+
+## HF Space Setup
+1. Create Space (SDK: Streamlit) and upload this ZIP.
+2. Settings → Secrets: `HF_API_TOKEN`
+3. Settings → Variables (optional): 
+   - `HF_CHAT_ENDPOINT` = https://router.huggingface.co/hf-inference/text-generation/openai/gpt-oss-120b
+4. Sidebar → Seed / Refresh RAG Index (once)
+5. Chat, generate OPD, and export PDF.
+
+Generated: 2025-12-06
diff --git a/app.py b/app.py
index 897d4f7f82d9a615c62566e08fb1735593aa0a1e..54f1595bc1f3524af32d3489903dfee59a57feba 100644
--- a/app.py
+++ b/app.py
@@ -1,47 +1,48 @@
-import os, json, time, streamlit as st
+import os, json, streamlit as st
 from backend.rag_engine import get_embedder, get_chroma, retrieve, seed_index
 from backend.soap_generator import compose_soap
 from backend.pdf_utils import generate_pdf
 from backend.chat_endpoint import chat
 from utils.constants import DOCS_DIR, RETRIEVAL_K_DEFAULT
 
-st.set_page_config(page_title="MediAssist v14.3 — Clinical AI", page_icon="🩺", layout="wide")
+st.set_page_config(page_title="MediAssist v14.4 — Clinical AI (Stable)", page_icon="🩺", layout="wide")
 
 @st.cache_resource(show_spinner=False)
 def _embedder(): return get_embedder()
-
 @st.cache_resource(show_spinner=False)
 def _col(): return get_chroma()[1]
 
 with st.sidebar:
     st.subheader("Controls")
     if st.button("Seed / Refresh RAG Index"):
-        with st.spinner("Indexing..."):
+        with st.spinner("Indexing guidelines..."):
             n = seed_index(_col(), _embedder(), DOCS_DIR)
-        st.success(f"Indexed {n} chunks from {DOCS_DIR}")
-    st.caption("Upload .txt/.md to data/guidelines/<specialty>/ then reseed.")
+        st.success(f"Indexed {n} chunks.")
+    st.caption("Upload .txt/.md into data/guidelines/<specialty>/ and reseed.")
 
-st.title("🩺 MediAssist v14.3 — Clinical AI for Doctors")
-st.caption("Chat + RAG + PDF · Uses HF Endpoint (set HF_API_TOKEN & HF_CHAT_ENDPOINT).")
+st.title("🩺 MediAssist v14.4 — Clinical AI (Stable)")
+st.caption("HF Router endpoint + RAG + PDF.")
 
 narrative = st.text_area("Patient narrative", height=140, placeholder="e.g., 10 days period delay, nausea, mild cramps")
 k = st.slider("🔍 Results to retrieve", 1, 10, RETRIEVAL_K_DEFAULT)
 
-col1, col2 = st.columns(2)
+c1, c2 = st.columns(2)
 
 if st.button("🧾 Generate OPD + Citations"):
     with st.spinner("Composing..."):
         items = retrieve(_col(), _embedder(), narrative, k=k)
         soap = compose_soap(narrative, items)
-    with col1:
+    with c1:
         st.subheader("SOAP JSON")
         st.code(json.dumps(soap, indent=2), language="json")
-    with col2:
+    with c2:
         st.subheader("Citations")
-        if not items: st.info("No citations retrieved.")
-        for i,it in enumerate(items,1):
-            st.markdown(f"**{i}. {it['title']}**  \n`{it['source']}`  \n> {it['text'][:400]}...")
-            st.divider()
+        if not items:
+            st.info("No citations retrieved.")
+        else:
+            for idx,it in enumerate(items,1):
+                st.markdown(f"**{idx}. {it['title']}**  \n`{it['source']}`  \n> {it['text'][:400]}...")
+                st.divider()
 
 st.markdown("---")
 st.subheader("💬 AI Chat")
diff --git a/backend/chat_endpoint.py b/backend/chat_endpoint.py
index 7206c80fb8b48a7365f881b9913852ce8b37fa62..917aafbd0af8508875cd3c62f81a57844891a6e6 100644
--- a/backend/chat_endpoint.py
+++ b/backend/chat_endpoint.py
@@ -9,86 +9,45 @@ def _headers():
     tok = os.getenv("HF_API_TOKEN")
     return {"Authorization": f"Bearer {tok}","Content-Type":"application/json"} if tok else {}
 
-
 def chat(user_message: str, mode: str = "patient"):
     url = active_chat_endpoint()
     headers = _headers()
     if not headers:
         return "⚠ Add HF_API_TOKEN in Settings → Secrets."
 
-    system = AI_GYNO_PERSONA_V2 + (
-        "\nUse simple, reassuring language." if mode=="patient"
-        else "\nUse clinical language, differentials, and red flags."
-    )
-
-    payload = {
-        "inputs": [
-            {"role": "system", "content": system},
-            {"role": "user", "content": user_message}
-        ],
-        "parameters": {
-            "max_new_tokens": 400,
-            "temperature": 0.2,
-            "return_full_text": False
-        }
-    }
-
-    try:
-        r = requests.post(url, headers=headers, json=payload, timeout=60)
-    except Exception as e:
-        return f"⚠ Network error: {str(e)}"
+    system = AI_GYNO_PERSONA_V2 + ("\nUse simple, supportive language." if mode=='patient' else "\nProvide differentials, initial workup, and red flags.")
+    prompt = f"""{system}
 
-    # --- SAFER PARSER ---
-    txt = r.text
+Patient narrative:
+{user_message}
 
-    # HTML → clear signal model is loading or wrong
-    if "<html" in txt.lower():
-        if "loading" in txt.lower():
-            return "⏳ Model is loading on HuggingFace… try again in 20–30 sec."
-        return f"⚠ Endpoint returned HTML instead of JSON:\n\n{txt[:500]}"
-
-    # Try normal JSON
-    try:
-        data = r.json()
-    except:
-        return f"⚠ Non-JSON content returned:\n\n{txt[:500]}"
-
-    # Standard HF generation
-    if isinstance(data, list) and len(data) and "generated_text" in data[0]:
-        return data[0]["generated_text"]
-    if isinstance(data, dict) and "generated_text" in data:
-        return data["generated_text"]
-
-    return f"⚠ Unexpected JSON:\n{json.dumps(data)[:800]}"
+Assistant:"""
 
+    payload = {
+        "inputs": prompt,
+        "parameters": {"max_new_tokens": 400, "temperature": 0.2, "return_full_text": False}
+    }
 
-# def chat(user_message: str, mode: str = "patient"):
-#     url = active_chat_endpoint()
-#     if not _headers():
-#         return "⚠ Add HF_API_TOKEN in Settings → Secrets."
-#     system = AI_GYNO_PERSONA_V2 + ("\nPrefer plain-language for patients." if mode=='patient' else "\nProvide differentials, workup, and red flags.")
-#     payload = {
-#         "inputs": [
-#             {"role":"system","content": system},
-#             {"role":"user","content": user_message}
-#         ],
-#         "parameters": {"max_new_tokens": 400, "temperature": 0.2, "return_full_text": False}
-#     }
-#     for attempt in range(1, RETRIES_DEFAULT+1):
-#         try:
-#             r = requests.post(url, headers=_headers(), json=payload, timeout=REQUEST_TIMEOUT_SECONDS_DEFAULT)
-#             try:
-#                 data = r.json()
-#             except Exception:
-#                 txt = r.text
-#                 if "loading" in txt.lower():
-#                     time.sleep(BACKOFF_SECONDS_DEFAULT * attempt); continue
-#                 return f"⚠ Non-JSON response:\n\n{txt[:1500]}"
-#             if isinstance(data, list) and data and "generated_text" in data[0]:
-#                 return data[0]["generated_text"]
-#             if isinstance(data, dict) and "generated_text" in data:
-#                 return data["generated_text"]
-#             return "⚠ Unexpected response:\n" + json.dumps(data)[:1200]
-#         except Exception as e:
-#             time.sleep(BACKOFF_SECONDS_DEFAULT * attempt)
-#     return "❌ Endpoint unavailable after retries."
+    for attempt in range(1, RETRIES_DEFAULT+1):
+        try:
+            r = requests.post(url, headers=headers, json=payload, timeout=REQUEST_TIMEOUT_SECONDS_DEFAULT)
+            text = r.text
+            try:
+                data = r.json()
+                if isinstance(data, list) and data and "generated_text" in data[0]:
+                    return data[0]["generated_text"]
+                if isinstance(data, dict) and "generated_text" in data:
+                    return data["generated_text"]
+                if isinstance(data, dict) and "outputs" in data and isinstance(data["outputs"], list) and data["outputs"]:
+                    gt = data["outputs"][0].get("generated_text")
+                    if gt: return gt
+                return json.dumps(data)[:1500]
+            except Exception:
+                if "loading" in text.lower():
+                    time.sleep(BACKOFF_SECONDS_DEFAULT * attempt); continue
+                if r.status_code == 404:
+                    return "❌ 404 from router. Check model path: /hf-inference/text-generation/<MODEL>"
+                return f"⚠ Non-JSON response:\n{text[:1000]}"
+        except Exception as e:
+            time.sleep(BACKOFF_SECONDS_DEFAULT * attempt)
+    return "❌ Endpoint unavailable after retries."
diff --git a/backend/rag_engine.py b/backend/rag_engine.py
index dcfcd9ec5700cec8ea2849820e1bfbc689bf8ed3..cf0cb04c4f1baec4cd6a31fe8dccb0153aa0ab52 100644
--- a/backend/rag_engine.py
+++ b/backend/rag_engine.py
@@ -27,6 +27,7 @@ def seed_index(col, model, root_folder: str) -> int:
     ids, docs, metas = [], [], []
     for p in sorted(paths):
         title = os.path.splitext(os.path.basename(p))[0]
+        rel = os.path.relpath(p, DOCS_DIR).replace(os.sep, "_")  # guarantee uniqueness
         try:
             with open(p, "r", encoding="utf-8") as f:
                 txt = f.read()
@@ -34,7 +35,7 @@ def seed_index(col, model, root_folder: str) -> int:
             continue
         chunks = splitter.split_text(txt)
         for i, ch in enumerate(chunks):
-            ids.append(f"{title}-{i}")
+            ids.append(f"{rel}-{i}")
             docs.append(ch)
             metas.append({"title": title, "source": p})
     if not docs:
diff --git a/backend/soap_generator.py b/backend/soap_generator.py
index 4c7aa31959e4b0335cb3cec8208388601e61d497..ff9b56b144ccdf74f55f75515d4074046ecca455 100644
--- a/backend/soap_generator.py
+++ b/backend/soap_generator.py
@@ -5,12 +5,12 @@ def compose_soap(narrative: str, retrieved: List[Dict]) -> Dict:
     assessment, plan = [], ["Safety-net advice and red-flag education.", "Follow-up in 3–7 days or earlier if worse."]
     if any(k in text for k in ["bleed","spotting","period","menorrhagia","aub"]):
         assessment.append("Abnormal uterine bleeding — structural vs hormonal.")
-        plan.append("Urine pregnancy test if appropriate; CBC; pelvic US if indicated.")
+        plan.append("Urine pregnancy test; CBC; pelvic ultrasound if indicated.")
     if any(k in text for k in ["pelvic pain","cramp","lower abdominal pain"]):
-        assessment.append("Pelvic pain — rule out infection/cyst/endometriosis.")
+        assessment.append("Pelvic pain — r/o infection/cyst/endometriosis.")
         plan.append("Trial NSAIDs; pelvic exam/US if persistent.")
     if any(k in text for k in ["chest pain","shortness of breath","sob"]):
-        assessment.append("Chest pain — consider ACS/PE; triage red flags immediately.")
+        assessment.append("Chest pain — consider ACS/PE; triage immediately if red flags.")
         plan.append("ECG, vitals; urgent review if high risk.")
     if any(k in text for k in ["knee pain","joint","sprain","swelling","injury"]):
         assessment.append("MSK complaint — ortho evaluation.")
diff --git a/data/guidelines/internal_med/001_Hypertension.txt b/data/guidelines/internal_med/001_Hypertension.txt
new file mode 100644
index 0000000000000000000000000000000000000000..203fb8433d30ca361c96ed7ab1ef919de264b45b
--- /dev/null
+++ b/data/guidelines/internal_med/001_Hypertension.txt
@@ -0,0 +1,6 @@
+Title: Chest Pain — Internal Medicine Guideline (1)
+Summary: Evidence-aligned triage and management for chest pain in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/002_Hypertension.txt b/data/guidelines/internal_med/002_Hypertension.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8c103eaf59b772f6037df3783b64de83b110e0af
--- /dev/null
+++ b/data/guidelines/internal_med/002_Hypertension.txt
@@ -0,0 +1,6 @@
+Title: Asthma — Internal Medicine Guideline (2)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/003_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/003_Fever_of_Unknown_Origin.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ea19bd3832a23edfb39a1add98ca455d3a0b6651
--- /dev/null
+++ b/data/guidelines/internal_med/003_Fever_of_Unknown_Origin.txt
@@ -0,0 +1,6 @@
+Title: Asthma — Internal Medicine Guideline (3)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/004_Asthma.txt b/data/guidelines/internal_med/004_Asthma.txt
new file mode 100644
index 0000000000000000000000000000000000000000..34457c683207e8a939120370fb42c3805c9a294a
--- /dev/null
+++ b/data/guidelines/internal_med/004_Asthma.txt
@@ -0,0 +1,6 @@
+Title: Fever of Unknown Origin — Internal Medicine Guideline (4)
+Summary: Evidence-aligned triage and management for fever of unknown origin in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/005_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/005_Fever_of_Unknown_Origin.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3f606113106f722f194e6536b6464041f7c36ce9
--- /dev/null
+++ b/data/guidelines/internal_med/005_Fever_of_Unknown_Origin.txt
@@ -0,0 +1,6 @@
+Title: Hypertension — Internal Medicine Guideline (5)
+Summary: Evidence-aligned triage and management for hypertension in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/006_COPD_Exacerbation.txt b/data/guidelines/internal_med/006_COPD_Exacerbation.txt
new file mode 100644
index 0000000000000000000000000000000000000000..287efc17400b724cf447e2df8ec9ab582b5df65a
--- /dev/null
+++ b/data/guidelines/internal_med/006_COPD_Exacerbation.txt
@@ -0,0 +1,6 @@
+Title: UTI — Internal Medicine Guideline (6)
+Summary: Evidence-aligned triage and management for uti in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/007_Asthma.txt b/data/guidelines/internal_med/007_Asthma.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2630cbb0c1d473a24a51983b7091a354f5639aaf
--- /dev/null
+++ b/data/guidelines/internal_med/007_Asthma.txt
@@ -0,0 +1,6 @@
+Title: UTI — Internal Medicine Guideline (7)
+Summary: Evidence-aligned triage and management for uti in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/008_Thyroid_Dysfunction.txt b/data/guidelines/internal_med/008_Thyroid_Dysfunction.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5c126406eb76d21b5057c59eb2520613cc4df9d2
--- /dev/null
+++ b/data/guidelines/internal_med/008_Thyroid_Dysfunction.txt
@@ -0,0 +1,6 @@
+Title: COPD Exacerbation — Internal Medicine Guideline (8)
+Summary: Evidence-aligned triage and management for copd exacerbation in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/009_Diabetes_Mellitus.txt b/data/guidelines/internal_med/009_Diabetes_Mellitus.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8d34ae2b887f50edd1e16b7ece155413ec764852
--- /dev/null
+++ b/data/guidelines/internal_med/009_Diabetes_Mellitus.txt
@@ -0,0 +1,6 @@
+Title: Anemia — Internal Medicine Guideline (9)
+Summary: Evidence-aligned triage and management for anemia in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/010_Thyroid_Dysfunction.txt b/data/guidelines/internal_med/010_Thyroid_Dysfunction.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c87d8244a4fb88149dce8145fce273697b4f0fe8
--- /dev/null
+++ b/data/guidelines/internal_med/010_Thyroid_Dysfunction.txt
@@ -0,0 +1,6 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (10)
+Summary: Evidence-aligned triage and management for diabetes mellitus in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/011_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/011_Fever_of_Unknown_Origin.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2e4dcce8a3103f4732ffe169297aa5fbcae7ed70
--- /dev/null
+++ b/data/guidelines/internal_med/011_Fever_of_Unknown_Origin.txt
@@ -0,0 +1,6 @@
+Title: AKI — Internal Medicine Guideline (11)
+Summary: Evidence-aligned triage and management for aki in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/012_Diabetes_Mellitus.txt b/data/guidelines/internal_med/012_Diabetes_Mellitus.txt
new file mode 100644
index 0000000000000000000000000000000000000000..974471a84a5070eaf26bbd8b5d435f7bcbf1e386
--- /dev/null
+++ b/data/guidelines/internal_med/012_Diabetes_Mellitus.txt
@@ -0,0 +1,6 @@
+Title: AKI — Internal Medicine Guideline (12)
+Summary: Evidence-aligned triage and management for aki in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/013_UTI.txt b/data/guidelines/internal_med/013_UTI.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3922f669c18410ac0dc410dc6635ba3974285b3a
--- /dev/null
+++ b/data/guidelines/internal_med/013_UTI.txt
@@ -0,0 +1,6 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (13)
+Summary: Evidence-aligned triage and management for diabetes mellitus in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/014_Asthma.txt b/data/guidelines/internal_med/014_Asthma.txt
new file mode 100644
index 0000000000000000000000000000000000000000..affb53cccb89cff58a62392726ed7f3de19bbe20
--- /dev/null
+++ b/data/guidelines/internal_med/014_Asthma.txt
@@ -0,0 +1,6 @@
+Title: Diabetes Mellitus — Internal Medicine Guideline (14)
+Summary: Evidence-aligned triage and management for diabetes mellitus in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/015_UTI.txt b/data/guidelines/internal_med/015_UTI.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4ba27c480188c71aca4672a8b8d335b15633e1b5
--- /dev/null
+++ b/data/guidelines/internal_med/015_UTI.txt
@@ -0,0 +1,6 @@
+Title: AKI — Internal Medicine Guideline (15)
+Summary: Evidence-aligned triage and management for aki in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/016_Anemia.txt b/data/guidelines/internal_med/016_Anemia.txt
index 829a217024e1f5940584cd3319c76e67bb8a3e8c..ab118b37d702fc2535e2d604f23e8c01d06e586a 100644
--- a/data/guidelines/internal_med/016_Anemia.txt
+++ b/data/guidelines/internal_med/016_Anemia.txt
@@ -1,34 +1,6 @@
-Title: Anemia — Internal Medicine Guideline (16)
-
-Clinical Summary:
-Evidence-aligned approach to anemia in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
\ No newline at end of file
+Title: Asthma — Internal Medicine Guideline (16)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/017_COPD_Exacerbation.txt b/data/guidelines/internal_med/017_COPD_Exacerbation.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3c368686eea2ad7c6af72307aa8b121c9558720
--- /dev/null
+++ b/data/guidelines/internal_med/017_COPD_Exacerbation.txt
@@ -0,0 +1,6 @@
+Title: Thyroid Dysfunction — Internal Medicine Guideline (17)
+Summary: Evidence-aligned triage and management for thyroid dysfunction in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/018_COPD_Exacerbation.txt b/data/guidelines/internal_med/018_COPD_Exacerbation.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6ee50a9797500f9ffd14701c70bf307b60c07eae
--- /dev/null
+++ b/data/guidelines/internal_med/018_COPD_Exacerbation.txt
@@ -0,0 +1,6 @@
+Title: Asthma — Internal Medicine Guideline (18)
+Summary: Evidence-aligned triage and management for asthma in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/019_Asthma.txt b/data/guidelines/internal_med/019_Asthma.txt
index 025d02b6583f8f9d71b70b385d44b1a6dde3a58c..8fa5931bda024689c42d3a0e26310531c38856bf 100644
--- a/data/guidelines/internal_med/019_Asthma.txt
+++ b/data/guidelines/internal_med/019_Asthma.txt
@@ -1,34 +1,6 @@
 Title: Hypertension — Internal Medicine Guideline (19)
-
-Clinical Summary:
-Evidence-aligned approach to hypertension in Internal Medicine. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
\ No newline at end of file
+Summary: Evidence-aligned triage and management for hypertension in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/internal_med/020_Fever_of_Unknown_Origin.txt b/data/guidelines/internal_med/020_Fever_of_Unknown_Origin.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d724a32182af5cafd32999b47a85455aafd52105
--- /dev/null
+++ b/data/guidelines/internal_med/020_Fever_of_Unknown_Origin.txt
@@ -0,0 +1,6 @@
+Title: UTI — Internal Medicine Guideline (20)
+Summary: Evidence-aligned triage and management for uti in Internal Medicine.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/001_AUB.txt b/data/guidelines/obgyn/001_AUB.txt
index 77e46282adc9b1abdc5541f028bfb29d9b31e5c4..cc037d58fd1863ca9a4c92c6594e67b6552a32d6 100644
--- a/data/guidelines/obgyn/001_AUB.txt
+++ b/data/guidelines/obgyn/001_AUB.txt
@@ -1,34 +1,6 @@
-Title: Infertility Workup — OBGYN Guideline (1)
-
-Clinical Summary:
-Evidence-aligned approach to infertility workup in OBGYN. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
\ No newline at end of file
+Title: Antenatal Care — OBGYN Guideline (1)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/002_Fibroids.txt b/data/guidelines/obgyn/002_Fibroids.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b4cfaa54c7d955e1c511c0393d22214d7a38cd25
--- /dev/null
+++ b/data/guidelines/obgyn/002_Fibroids.txt
@@ -0,0 +1,6 @@
+Title: Antenatal Care — OBGYN Guideline (2)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/003_PCOS.txt b/data/guidelines/obgyn/003_PCOS.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9707b80b4cc57e23a96abb73a0e237c5c8ba5650
--- /dev/null
+++ b/data/guidelines/obgyn/003_PCOS.txt
@@ -0,0 +1,6 @@
+Title: Fibroids — OBGYN Guideline (3)
+Summary: Evidence-aligned triage and management for fibroids in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/004_Antenatal_Care.txt b/data/guidelines/obgyn/004_Antenatal_Care.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8f8d327474e4a030a9bb683a05ed764e9fd2db0d
--- /dev/null
+++ b/data/guidelines/obgyn/004_Antenatal_Care.txt
@@ -0,0 +1,6 @@
+Title: Ectopic Pregnancy — OBGYN Guideline (4)
+Summary: Evidence-aligned triage and management for ectopic pregnancy in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/005_Endometriosis.txt b/data/guidelines/obgyn/005_Endometriosis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4361461ab2075d562cfbcc3bf75e78fa287b2844
--- /dev/null
+++ b/data/guidelines/obgyn/005_Endometriosis.txt
@@ -0,0 +1,6 @@
+Title: Endometriosis — OBGYN Guideline (5)
+Summary: Evidence-aligned triage and management for endometriosis in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/006_Miscarriage.txt b/data/guidelines/obgyn/006_Miscarriage.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4534fa571d16e6a9c90a321ff378312d2b6a0b3f
--- /dev/null
+++ b/data/guidelines/obgyn/006_Miscarriage.txt
@@ -0,0 +1,6 @@
+Title: Antenatal Care — OBGYN Guideline (6)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/007_Dysmenorrhea.txt b/data/guidelines/obgyn/007_Dysmenorrhea.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8f93892b4ac559334b0bea5b3da0c8e1e9eb58de
--- /dev/null
+++ b/data/guidelines/obgyn/007_Dysmenorrhea.txt
@@ -0,0 +1,6 @@
+Title: AUB — OBGYN Guideline (7)
+Summary: Evidence-aligned triage and management for aub in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/008_Infertility_Workup.txt b/data/guidelines/obgyn/008_Infertility_Workup.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2c00d4b521f23ce60121f983dbfd3bff68e17faf
--- /dev/null
+++ b/data/guidelines/obgyn/008_Infertility_Workup.txt
@@ -0,0 +1,6 @@
+Title: PCOS — OBGYN Guideline (8)
+Summary: Evidence-aligned triage and management for pcos in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/009_Infertility_Workup.txt b/data/guidelines/obgyn/009_Infertility_Workup.txt
new file mode 100644
index 0000000000000000000000000000000000000000..782e5382489483c27c87bc11a0ece84a1fd1b07f
--- /dev/null
+++ b/data/guidelines/obgyn/009_Infertility_Workup.txt
@@ -0,0 +1,6 @@
+Title: Infertility Workup — OBGYN Guideline (9)
+Summary: Evidence-aligned triage and management for infertility workup in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/010_Miscarriage.txt b/data/guidelines/obgyn/010_Miscarriage.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3941cca275382131d3255a22b860425a220738c8
--- /dev/null
+++ b/data/guidelines/obgyn/010_Miscarriage.txt
@@ -0,0 +1,6 @@
+Title: PCOS — OBGYN Guideline (10)
+Summary: Evidence-aligned triage and management for pcos in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/011_Fibroids.txt b/data/guidelines/obgyn/011_Fibroids.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4a31e4ff57c8d3e439204c58cb525bf8128918f8
--- /dev/null
+++ b/data/guidelines/obgyn/011_Fibroids.txt
@@ -0,0 +1,6 @@
+Title: Ectopic Pregnancy — OBGYN Guideline (11)
+Summary: Evidence-aligned triage and management for ectopic pregnancy in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/012_Dysmenorrhea.txt b/data/guidelines/obgyn/012_Dysmenorrhea.txt
new file mode 100644
index 0000000000000000000000000000000000000000..022d0010e86738318678f07d825845ad3d8b0258
--- /dev/null
+++ b/data/guidelines/obgyn/012_Dysmenorrhea.txt
@@ -0,0 +1,6 @@
+Title: Infertility Workup — OBGYN Guideline (12)
+Summary: Evidence-aligned triage and management for infertility workup in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/013_Antenatal_Care.txt b/data/guidelines/obgyn/013_Antenatal_Care.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8642dbad57b9083d3d951e843d4ef2029e878ac3
--- /dev/null
+++ b/data/guidelines/obgyn/013_Antenatal_Care.txt
@@ -0,0 +1,6 @@
+Title: Dysmenorrhea — OBGYN Guideline (13)
+Summary: Evidence-aligned triage and management for dysmenorrhea in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/014_Adenomyosis.txt b/data/guidelines/obgyn/014_Adenomyosis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e6cdeb408b0e4e8986a267e19abb5fccc164bf7d
--- /dev/null
+++ b/data/guidelines/obgyn/014_Adenomyosis.txt
@@ -0,0 +1,6 @@
+Title: Antenatal Care — OBGYN Guideline (14)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/015_Infertility_Workup.txt b/data/guidelines/obgyn/015_Infertility_Workup.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c8c04e883ebc72c49131b9dcfd175f829c315f39
--- /dev/null
+++ b/data/guidelines/obgyn/015_Infertility_Workup.txt
@@ -0,0 +1,6 @@
+Title: Endometriosis — OBGYN Guideline (15)
+Summary: Evidence-aligned triage and management for endometriosis in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/016_Ectopic_Pregnancy.txt b/data/guidelines/obgyn/016_Ectopic_Pregnancy.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b1012b7f352d5d680a46e634b110026c8f378b88
--- /dev/null
+++ b/data/guidelines/obgyn/016_Ectopic_Pregnancy.txt
@@ -0,0 +1,6 @@
+Title: Endometriosis — OBGYN Guideline (16)
+Summary: Evidence-aligned triage and management for endometriosis in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/017_Endometriosis.txt b/data/guidelines/obgyn/017_Endometriosis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10baa70d7618495f4a6fafdb64eeca0fbe6f72fa
--- /dev/null
+++ b/data/guidelines/obgyn/017_Endometriosis.txt
@@ -0,0 +1,6 @@
+Title: Antenatal Care — OBGYN Guideline (17)
+Summary: Evidence-aligned triage and management for antenatal care in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/018_Miscarriage.txt b/data/guidelines/obgyn/018_Miscarriage.txt
new file mode 100644
index 0000000000000000000000000000000000000000..061206a5938fe29e6a78356bae1d63802f920985
--- /dev/null
+++ b/data/guidelines/obgyn/018_Miscarriage.txt
@@ -0,0 +1,6 @@
+Title: Infertility Workup — OBGYN Guideline (18)
+Summary: Evidence-aligned triage and management for infertility workup in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/019_AUB.txt b/data/guidelines/obgyn/019_AUB.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5e70ee0d2a0f8c89285d7503bafdc88636ed32a3
--- /dev/null
+++ b/data/guidelines/obgyn/019_AUB.txt
@@ -0,0 +1,6 @@
+Title: Miscarriage — OBGYN Guideline (19)
+Summary: Evidence-aligned triage and management for miscarriage in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/obgyn/020_Adenomyosis.txt b/data/guidelines/obgyn/020_Adenomyosis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c99b141945bcd8587cc76721d755f2b6ee59cd05
--- /dev/null
+++ b/data/guidelines/obgyn/020_Adenomyosis.txt
@@ -0,0 +1,6 @@
+Title: AUB — OBGYN Guideline (20)
+Summary: Evidence-aligned triage and management for aub in OBGYN.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/001_ACL_Injury.txt b/data/guidelines/orthopedics/001_ACL_Injury.txt
new file mode 100644
index 0000000000000000000000000000000000000000..096bdbd0f391fd4de56674dc3b4c4ed63a43d728
--- /dev/null
+++ b/data/guidelines/orthopedics/001_ACL_Injury.txt
@@ -0,0 +1,6 @@
+Title: Hip Fracture — Orthopedics Guideline (1)
+Summary: Evidence-aligned triage and management for hip fracture in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/002_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/002_Rotator_Cuff_Tear.txt
new file mode 100644
index 0000000000000000000000000000000000000000..33603435dbff2a39a2483c1772cb84071d272975
--- /dev/null
+++ b/data/guidelines/orthopedics/002_Rotator_Cuff_Tear.txt
@@ -0,0 +1,6 @@
+Title: Rotator Cuff Tear — Orthopedics Guideline (2)
+Summary: Evidence-aligned triage and management for rotator cuff tear in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/003_Frozen_Shoulder.txt b/data/guidelines/orthopedics/003_Frozen_Shoulder.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6563e888b57dcce7c16ce74349f5c824c145f1db
--- /dev/null
+++ b/data/guidelines/orthopedics/003_Frozen_Shoulder.txt
@@ -0,0 +1,6 @@
+Title: Frozen Shoulder — Orthopedics Guideline (3)
+Summary: Evidence-aligned triage and management for frozen shoulder in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/004_Low_Back_Pain.txt b/data/guidelines/orthopedics/004_Low_Back_Pain.txt
new file mode 100644
index 0000000000000000000000000000000000000000..86c7609ecbc2f4ea7f794dbcb76da59299c1eae3
--- /dev/null
+++ b/data/guidelines/orthopedics/004_Low_Back_Pain.txt
@@ -0,0 +1,6 @@
+Title: Cervical Spondylosis — Orthopedics Guideline (4)
+Summary: Evidence-aligned triage and management for cervical spondylosis in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/005_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/005_Knee_Osteoarthritis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..232fc67c489a72fb01c776f2943b3007c7e4196a
--- /dev/null
+++ b/data/guidelines/orthopedics/005_Knee_Osteoarthritis.txt
@@ -0,0 +1,6 @@
+Title: Knee Osteoarthritis — Orthopedics Guideline (5)
+Summary: Evidence-aligned triage and management for knee osteoarthritis in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/006_Hip_Fracture.txt b/data/guidelines/orthopedics/006_Hip_Fracture.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d1eab7d2a95725f22d88131c2a3946ff98919c2a
--- /dev/null
+++ b/data/guidelines/orthopedics/006_Hip_Fracture.txt
@@ -0,0 +1,6 @@
+Title: ACL Injury — Orthopedics Guideline (6)
+Summary: Evidence-aligned triage and management for acl injury in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/007_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/007_Knee_Osteoarthritis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0d98679fe48c0a3782aafac81471468fe4d9f95e
--- /dev/null
+++ b/data/guidelines/orthopedics/007_Knee_Osteoarthritis.txt
@@ -0,0 +1,6 @@
+Title: Hip Fracture — Orthopedics Guideline (7)
+Summary: Evidence-aligned triage and management for hip fracture in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/008_Frozen_Shoulder.txt b/data/guidelines/orthopedics/008_Frozen_Shoulder.txt
new file mode 100644
index 0000000000000000000000000000000000000000..61418d1ad93be99a111910d0df2486c5667dda57
--- /dev/null
+++ b/data/guidelines/orthopedics/008_Frozen_Shoulder.txt
@@ -0,0 +1,6 @@
+Title: Cervical Spondylosis — Orthopedics Guideline (8)
+Summary: Evidence-aligned triage and management for cervical spondylosis in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/009_Hip_Fracture.txt b/data/guidelines/orthopedics/009_Hip_Fracture.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cb185fe2c386815b69dda545ffb4d66e4cda2faf
--- /dev/null
+++ b/data/guidelines/orthopedics/009_Hip_Fracture.txt
@@ -0,0 +1,6 @@
+Title: ACL Injury — Orthopedics Guideline (9)
+Summary: Evidence-aligned triage and management for acl injury in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/010_Ankle_Sprain.txt b/data/guidelines/orthopedics/010_Ankle_Sprain.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0a2f602fb174808199786b98a27c5579e5e986ee
--- /dev/null
+++ b/data/guidelines/orthopedics/010_Ankle_Sprain.txt
@@ -0,0 +1,6 @@
+Title: Rotator Cuff Tear — Orthopedics Guideline (10)
+Summary: Evidence-aligned triage and management for rotator cuff tear in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/011_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/011_Rotator_Cuff_Tear.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c6bafe188b043f443400583ba0069d0f4be1d4e9
--- /dev/null
+++ b/data/guidelines/orthopedics/011_Rotator_Cuff_Tear.txt
@@ -0,0 +1,6 @@
+Title: Hip Fracture — Orthopedics Guideline (11)
+Summary: Evidence-aligned triage and management for hip fracture in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/012_Low_Back_Pain.txt b/data/guidelines/orthopedics/012_Low_Back_Pain.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b1265f0a7489a2a0dd35399f5319d4fb56a8ae99
--- /dev/null
+++ b/data/guidelines/orthopedics/012_Low_Back_Pain.txt
@@ -0,0 +1,6 @@
+Title: ACL Injury — Orthopedics Guideline (12)
+Summary: Evidence-aligned triage and management for acl injury in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/013_Low_Back_Pain.txt b/data/guidelines/orthopedics/013_Low_Back_Pain.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dc1f67955f4958585e32f2a1f5c19521b93827fb
--- /dev/null
+++ b/data/guidelines/orthopedics/013_Low_Back_Pain.txt
@@ -0,0 +1,6 @@
+Title: Ankle Sprain — Orthopedics Guideline (13)
+Summary: Evidence-aligned triage and management for ankle sprain in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/014_Knee_Osteoarthritis.txt b/data/guidelines/orthopedics/014_Knee_Osteoarthritis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d2f8c6156716442e092e7e6fe787ff941fb2a61a
--- /dev/null
+++ b/data/guidelines/orthopedics/014_Knee_Osteoarthritis.txt
@@ -0,0 +1,6 @@
+Title: Rotator Cuff Tear — Orthopedics Guideline (14)
+Summary: Evidence-aligned triage and management for rotator cuff tear in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt b/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt
index 46bc1988c48823e581d4855d32d58a7b37c9b1cf..7ae775be5b12311e4b5a5e746f603fe42473bd06 100644
--- a/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt
+++ b/data/guidelines/orthopedics/015_Cervical_Spondylosis.txt
@@ -1,34 +1,6 @@
-Title: Knee Osteoarthritis — Orthopedics Guideline (15)
-
-Clinical Summary:
-Evidence-aligned approach to knee osteoarthritis in Orthopedics. Prioritize red flags, history, and targeted exam; use testing judiciously.
-
-Symptoms:
-- Pattern, onset, severity, modifiers
-- Associated: fever, weight loss, bleeding, dyspnea
-- Risks: comorbidities, medications, family history
-
-Differentials:
-- Common
-- Less common
-- Must-not-miss (red flag)
-
-Investigations:
-- First-line labs
-- Imaging when indicated
-- Decision thresholds
-
-Management:
-- Conservative measures
-- Pharmacologic options
-- Escalation criteria
-
-Red Flags:
-- Syncope, severe pain, hemodynamic instability
-- New neurologic deficits
-- Rapid progression or systemic toxicity
-
-Follow-Up:
-- Time-bounded review
-- Safety-net advice
-- When to return earlier
\ No newline at end of file
+Title: Hip Fracture — Orthopedics Guideline (15)
+Summary: Evidence-aligned triage and management for hip fracture in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/016_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/016_Rotator_Cuff_Tear.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4078b467f5ff09beb1f6f13ac895cde14967df32
--- /dev/null
+++ b/data/guidelines/orthopedics/016_Rotator_Cuff_Tear.txt
@@ -0,0 +1,6 @@
+Title: Frozen Shoulder — Orthopedics Guideline (16)
+Summary: Evidence-aligned triage and management for frozen shoulder in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/017_Plantar_Fasciitis.txt b/data/guidelines/orthopedics/017_Plantar_Fasciitis.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7da26ba920bae580f0d945a19f827ef901181ff8
--- /dev/null
+++ b/data/guidelines/orthopedics/017_Plantar_Fasciitis.txt
@@ -0,0 +1,6 @@
+Title: ACL Injury — Orthopedics Guideline (17)
+Summary: Evidence-aligned triage and management for acl injury in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/018_ACL_Injury.txt b/data/guidelines/orthopedics/018_ACL_Injury.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d68c2ccd892c6a611a51e2bf183adf4504540ef4
--- /dev/null
+++ b/data/guidelines/orthopedics/018_ACL_Injury.txt
@@ -0,0 +1,6 @@
+Title: Knee Osteoarthritis — Orthopedics Guideline (18)
+Summary: Evidence-aligned triage and management for knee osteoarthritis in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/019_Ankle_Sprain.txt b/data/guidelines/orthopedics/019_Ankle_Sprain.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f6126b59b0cb7abb47d412da01189fce9e88a040
--- /dev/null
+++ b/data/guidelines/orthopedics/019_Ankle_Sprain.txt
@@ -0,0 +1,6 @@
+Title: Rotator Cuff Tear — Orthopedics Guideline (19)
+Summary: Evidence-aligned triage and management for rotator cuff tear in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/data/guidelines/orthopedics/020_Rotator_Cuff_Tear.txt b/data/guidelines/orthopedics/020_Rotator_Cuff_Tear.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5662d765a915609bf89b1a74318330ac320ed94a
--- /dev/null
+++ b/data/guidelines/orthopedics/020_Rotator_Cuff_Tear.txt
@@ -0,0 +1,6 @@
+Title: Hip Fracture — Orthopedics Guideline (20)
+Summary: Evidence-aligned triage and management for hip fracture in Orthopedics.
+Red Flags: syncope, severe pain, hemodynamic instability.
+Workup: history, focused exam, first-line tests, targeted imaging.
+Management: conservative → pharmacologic → escalation when needed.
+Follow-Up: safety-net advice; return if worse.
\ No newline at end of file
diff --git a/pages/1_Diagnostics.py b/pages/1_Diagnostics.py
index 283025e7ff0e508f6b16dd1e124cdb7a540c57de..69854dcf755ada3a8239bc41e7bd8637bca1e621 100644
--- a/pages/1_Diagnostics.py
+++ b/pages/1_Diagnostics.py
@@ -1,13 +1,12 @@
 import streamlit as st, os, json, requests
 st.set_page_config(page_title="Diagnostics", page_icon="🧪", layout="wide")
-st.title("🧪 Endpoint Diagnostics")
-st.write("Quickly test your endpoint/token and inspect raw responses.")
-endpoint = st.text_input("Endpoint", os.getenv("HF_CHAT_ENDPOINT") or os.getenv("CHAT_ENDPOINT") or "https://api-inference.huggingface.co/models/meta-llama/Llama-3.2-1B-Instruct")
+st.title("🧪 Endpoint Diagnostics (Router)")
+endpoint = st.text_input("Endpoint", os.getenv("HF_CHAT_ENDPOINT") or "https://router.huggingface.co/hf-inference/text-generation/openai/gpt-oss-120b")
 token = st.text_input("HF API Token (optional; else use env)", os.getenv("HF_API_TOKEN") or "", type="password")
-prompt = st.text_area("Prompt", "ping")
+prompt = st.text_area("Prompt", "hello from MediAssist")
 if st.button("Ping"):
     try:
-        r = requests.post(endpoint, headers={"Authorization": f"Bearer {token or os.getenv('HF_API_TOKEN')}","Content-Type":"application/json"}, json={"inputs":[{"role":"user","content":prompt}]}, timeout=60)
+        r = requests.post(endpoint, headers={"Authorization": f"Bearer {token or os.getenv('HF_API_TOKEN')}","Content-Type":"application/json"}, json={"inputs": prompt, "parameters":{"max_new_tokens":50}}, timeout=60)
         st.subheader("Status / headers")
         st.code(f"{r.status_code}\n{dict(r.headers)}")
         try:
diff --git a/utils/constants.py b/utils/constants.py
index 1b5329a8931a6b468d43bf67434559a74ab399c2..d143241de30e0aa729d5336eb5d114f3c482ca12 100644
--- a/utils/constants.py
+++ b/utils/constants.py
@@ -4,9 +4,9 @@ COLLECTION = "med_guidelines_multispeciality"
 EMB_MODEL_NAME = "medicalai/ClinicalBERT"
 RETRIEVAL_K_DEFAULT = 5
 
-# Default endpoints (override in HF Space variables)
-CHAT_ENDPOINT_DEFAULT = " https://router.huggingface.co/models/meta-llama/Llama-3.2-1B-Instruct"
-TEXTGEN_ENDPOINT_DEFAULT = " https://router.huggingface.co/models/mistralai/Mixtral-8x7B-Instruct-v0.1"
+# Default chat endpoint (router, text-generation)
+CHAT_ENDPOINT_DEFAULT = "https://router.huggingface.co/hf-inference/text-generation/openai/gpt-oss-120b"
+
 REQUEST_TIMEOUT_SECONDS_DEFAULT = 60
 RETRIES_DEFAULT = 6
 BACKOFF_SECONDS_DEFAULT = 3
diff --git a/utils/persona.py b/utils/persona.py
index 85ff382fec0b1beb75d730bccbb9b0d70f5a2ae8..51c939d25baa12ce72d01f421628845023188b29 100644
--- a/utils/persona.py
+++ b/utils/persona.py
@@ -1,9 +1,7 @@
 AI_GYNO_PERSONA_V2 = """
 You are MediAssist Clinical AI (AIgyno Persona v2).
-- Assist doctors (OBGYN, Internal Medicine, Orthopedics) with safe reasoning.
-- Use simple language with patients; use clinical language with doctors.
-- Ask 3–6 targeted follow-up questions when info is insufficient.
-- Provide differentials and next steps. Do not give definitive diagnoses.
-- Always include red flags and escalation criteria. Cite context if available.
-- Final decisions rest with the doctor.
+- Assist doctors across OBGYN, Internal Medicine, Orthopedics.
+- Be safe, clear, and ask 3–6 targeted follow-ups if needed.
+- Provide differentials, initial workup, red flags, and next steps.
+- Never give definitive diagnosis; final decisions rest with the doctor.
 """