Periumbilical Pain - 32M, 1 Day, No Red Flags

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, HRFlowable, Table, TableStyle
)
from reportlab.lib.styles import ParagraphStyle
from reportlab.lib.enums import TA_LEFT, TA_CENTER
from reportlab.platypus import KeepTogether

OUTPUT = "/tmp/workspace/case-cards/case_periumbilical_pain.pdf"

# ── Colour palette (matching reference image) ──────────────────────────────
TEAL      = colors.HexColor("#2E7D87")   # section headers
DARK_NAVY = colors.HexColor("#1B2A4A")   # body text / Rx numbers
ORANGE    = colors.HexColor("#D97B2B")   # dosage highlights
RED       = colors.HexColor("#C0392B")   # complications
LIGHT_BG  = colors.HexColor("#EAF4F6")   # title box background
BORDER    = colors.HexColor("#2E7D87")   # title box border
GREY_TEXT = colors.HexColor("#888888")   # disclaimer

# ── Styles ──────────────────────────────────────────────────────────────────
def S(name, **kw):
    base = dict(fontName="Helvetica", fontSize=10, leading=15,
                textColor=DARK_NAVY, spaceAfter=2)
    base.update(kw)
    return ParagraphStyle(name, **base)

s_title     = S("title",   fontName="Helvetica-Bold", fontSize=14,
                textColor=DARK_NAVY, alignment=TA_CENTER, leading=20)
s_section   = S("section", fontName="Helvetica-Bold", fontSize=11,
                textColor=TEAL, spaceAfter=2, spaceBefore=6)
s_body      = S("body",    fontSize=10, leading=15)
s_bullet    = S("bullet",  fontSize=10, leading=15, leftIndent=14,
                bulletIndent=4)
s_italic    = S("italic",  fontName="Helvetica-Oblique", fontSize=10.5,
                textColor=DARK_NAVY, leftIndent=10, leading=16)
s_rx_num    = S("rxnum",   fontSize=10, leading=16, leftIndent=6)
s_rta       = S("rta",     fontName="Helvetica-Bold", fontSize=11,
                textColor=ORANGE, alignment=TA_CENTER, spaceAfter=4)
s_comp      = S("comp",    fontSize=10, leading=15, textColor=RED,
                leftIndent=14, bulletIndent=4)
s_disclaim  = S("disclaim",fontSize=7.5, textColor=GREY_TEXT,
                alignment=TA_CENTER, leading=11)

def bullet(text, style=s_bullet):
    return Paragraph(f"•  {text}", style)

def rx_line(num, tab_text, dose_text, rest_text):
    """Returns a Paragraph with mixed bold/coloured text for an Rx line."""
    html = (f'<font color="{ORANGE.hexval()}"><b>{num})</b></font>'
            f'<b>Tab.</b> {tab_text} '
            f'<font color="{ORANGE.hexval()}"><b>{dose_text}</b></font>'
            f'{rest_text}')
    return Paragraph(html, s_rx_num)

def rx_plain(num, text):
    html = f'<font color="{ORANGE.hexval()}"><b>{num})</b></font>{text}'
    return Paragraph(html, s_rx_num)

# ── Build story ─────────────────────────────────────────────────────────────
story = []

# ── Title box ────────────────────────────────────────────────────────────────
title_para = Paragraph("CASE: PERIUMBILICAL ABDOMINAL PAIN", s_title)
title_tbl  = Table([[title_para]], colWidths=[155*mm])
title_tbl.setStyle(TableStyle([
    ("BACKGROUND",  (0,0), (-1,-1), LIGHT_BG),
    ("BOX",         (0,0), (-1,-1), 1.5, BORDER),
    ("ROUNDEDCORNERS", [6]),
    ("TOPPADDING",  (0,0), (-1,-1), 10),
    ("BOTTOMPADDING",(0,0),(-1,-1), 10),
    ("LEFTPADDING", (0,0), (-1,-1), 10),
    ("RIGHTPADDING",(0,0), (-1,-1), 10),
]))
story.append(title_tbl)
story.append(Spacer(1, 8*mm))

# ── C/o ──────────────────────────────────────────────────────────────────────
story.append(Paragraph("C/o:-", s_section))
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.lightgrey))
story.append(Spacer(1, 2*mm))
for item in [
    "Pain in abdomen since 1 day",
    "Periumbilical in location",
    "Constant in nature",
    "No red flag symptoms",
    "No associated symptoms",
]:
    story.append(bullet(item))
story.append(Spacer(1, 4*mm))

# ── Most probable diagnosis ──────────────────────────────────────────────────
story.append(Paragraph("Most probable diagnosis:", s_section))
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.lightgrey))
story.append(Spacer(1, 2*mm))
story.append(Paragraph(
    "Early Appendicitis / Mesenteric Adenitis / Acute Gastroenteritis",
    s_italic))
story.append(Spacer(1, 5*mm))

# ── Advice + Rx (two-column table) ──────────────────────────────────────────
advice_items = [
    bullet("CBC"),
    bullet("CRP / ESR"),
    bullet("Urine R/M"),
    bullet("USG Abdomen"),
    bullet("Alvarado Score"),
    bullet("Surgical Consult if score ≥ 5"),
]

rx_items = [
    Paragraph("<b>Rx</b>", S("rxhead", fontName="Helvetica-Bold",
              fontSize=13, textColor=DARK_NAVY)),
    rx_line("1", "PCM ", "650mg", " x TDS (after food)"),
    rx_line("2", "Pan ", "40mg", " x OD (before food)"),
    rx_line("3", "Domperidone ", "10mg", " x TDS (before food)"),
    rx_plain("4",
        " <b>IV Fluids</b> (if dehydrated / vomiting) — "
        f'<font color="{ORANGE.hexval()}"><b>NS / RL @ 100 ml/hr</b></font>'),
    rx_plain("5",
        " Analgesic if needed: <b>Inj.</b> "
        f'<font color="{ORANGE.hexval()}"><b>Tramadol 50mg</b></font>'
        " slow IV"),
    rx_plain("6", " <b>NPO</b> if surgical cause suspected"),
    rx_plain("7", " Rest + Oral hydration (ORS) if tolerating orally"),
    Spacer(1, 4*mm),
    Paragraph(
        f'<font color="{ORANGE.hexval()}"><b>R/A 24-48 hours</b></font>'
        " (or earlier if pain migrates to RIF / worsens)",
        S("rta2", fontName="Helvetica-Bold", fontSize=10,
          textColor=ORANGE, alignment=TA_CENTER)),
]

col_advice = [advice_items]  # single column
# Build left column as a mini table
adv_inner = [[a] for a in advice_items]
adv_tbl = Table(adv_inner, colWidths=[60*mm])
adv_tbl.setStyle(TableStyle([
    ("TOPPADDING",   (0,0),(-1,-1), 2),
    ("BOTTOMPADDING",(0,0),(-1,-1), 2),
    ("LEFTPADDING",  (0,0),(-1,-1), 0),
    ("RIGHTPADDING", (0,0),(-1,-1), 0),
]))

rx_inner = [[r] for r in rx_items]
rx_tbl = Table(rx_inner, colWidths=[90*mm])
rx_tbl.setStyle(TableStyle([
    ("TOPPADDING",   (0,0),(-1,-1), 2),
    ("BOTTOMPADDING",(0,0),(-1,-1), 2),
    ("LEFTPADDING",  (0,0),(-1,-1), 2),
    ("RIGHTPADDING", (0,0),(-1,-1), 0),
]))

left_header  = Paragraph("Advice:", S("advhdr", fontName="Helvetica-Bold",
                          fontSize=11, textColor=TEAL))
right_header = Paragraph("", s_body)

two_col = Table(
    [[left_header, right_header],
     [adv_tbl,     rx_tbl]],
    colWidths=[62*mm, 93*mm]
)
two_col.setStyle(TableStyle([
    ("VALIGN",       (0,0),(-1,-1), "TOP"),
    ("TOPPADDING",   (0,0),(-1,-1), 3),
    ("BOTTOMPADDING",(0,0),(-1,-1), 3),
    ("LEFTPADDING",  (0,0),(-1,-1), 0),
    ("RIGHTPADDING", (0,0),(-1,-1), 0),
    ("LINEABOVE",    (0,0),(-1,0),  0.5, colors.lightgrey),
]))
story.append(two_col)
story.append(Spacer(1, 6*mm))

# ── Complications ─────────────────────────────────────────────────────────────
story.append(Paragraph("Complications:", S("comphdr",
    fontName="Helvetica-Bold", fontSize=11, textColor=RED,
    decoration="underline")))
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.lightgrey))
story.append(Spacer(1, 2*mm))
for item in [
    "Perforation peritonitis (if appendicitis missed)",
    "Bowel obstruction / strangulation",
    "Sepsis / septic shock",
    "Drug-induced gastritis (NSAIDs)",
    "Missed surgical emergency",
]:
    story.append(bullet(item, style=s_comp))
story.append(Spacer(1, 8*mm))

# ── Disclaimer ───────────────────────────────────────────────────────────────
story.append(HRFlowable(width="100%", thickness=0.4, color=colors.lightgrey))
story.append(Spacer(1, 2*mm))
story.append(Paragraph(
    "Disclaimer: This handbook is intended as a clinical reference guide "
    "and does not replace clinical judgment. For educational purposes only.",
    s_disclaim))

# ── Render ───────────────────────────────────────────────────────────────────
doc = SimpleDocTemplate(
    OUTPUT, pagesize=A4,
    leftMargin=20*mm, rightMargin=20*mm,
    topMargin=20*mm, bottomMargin=20*mm,
)
doc.build(story)
print("PDF saved to", OUTPUT)