from docx import Document
from docx.shared import Pt
from docx.enum.text import WD_PARAGRAPH_ALIGNMENT


def add_heading(doc, text, level=1):
    h = doc.add_heading(text, level=level)
    return h


def add_bullets(doc, items):
    for item in items:
        p = doc.add_paragraph(item, style='List Bullet')


def add_numbered(doc, items):
    for item in items:
        p = doc.add_paragraph(item, style='List Number')


doc = Document()

# Title page
title = doc.add_paragraph()
title_run = title.add_run("Assignment: Decision-Making Protocols in Advanced Clinical Case Handling in Theriogenology")
title_run.bold = True
title_run.font.size = Pt(16)
title.alignment = WD_PARAGRAPH_ALIGNMENT.CENTER

subtitle = doc.add_paragraph("Program: Doctor of Veterinary Medicine (DVM)\nLevel: Final-Year Clinical Rotation\nCourse Area: Theriogenology")
subtitle.alignment = WD_PARAGRAPH_ALIGNMENT.CENTER

doc.add_paragraph()

doc.add_paragraph("Student Name: ______________________________")
doc.add_paragraph("Roll Number: ______________________________")
doc.add_paragraph("Submission Date: __________________________")
doc.add_page_break()

add_heading(doc, "1. Learning Outcomes", level=1)
add_bullets(doc, [
    "Apply structured decision-making frameworks to advanced reproductive clinical cases in domestic animals.",
    "Prioritize diagnostics and interventions using species-specific reproductive physiology and risk assessment.",
    "Develop evidence-informed management plans for urgent and non-urgent theriogenology scenarios.",
    "Integrate welfare, ethics, biosecurity, and owner constraints into final clinical decisions.",
    "Document and justify clinical decisions using a transparent protocol format."
])

add_heading(doc, "2. Core Decision-Making Protocol for Advanced Theriogenology Cases", level=1)
doc.add_paragraph("Use the following protocol for every case in this assignment:")
add_numbered(doc, [
    "Define the Clinical Problem: Summarize signalment, breeding history, presenting complaint, and urgency.",
    "Stabilize First (if emergency): Address hemorrhage, dystocia-related shock, pain, metabolic compromise, and fetal distress as indicated.",
    "Formulate Differential Diagnoses: Use species, cycle stage, postpartum interval, and herd/flock context.",
    "Targeted Diagnostic Plan: Select high-yield tests first (reproductive exam, ultrasonography, vaginal exam/speculum, uterine cytology/culture, endocrine assays, semen evaluation).",
    "Risk Stratification: Classify maternal, fetal/neonatal, fertility, and economic risk (low/moderate/high).",
    "Decision Node: Medical management vs. procedural intervention vs. surgery vs. referral.",
    "Treatment Plan: Include drugs, dose logic, timing with cycle stage, and monitoring checkpoints.",
    "Re-evaluation Timeline: 12-24 h, 3-7 days, and cycle-based milestones.",
    "Prevention Strategy: Herd/farm-level reproductive management, nutrition, vaccination, and breeding policy updates.",
    "Owner Communication and Consent: Explain prognosis, alternatives, costs, welfare impact, and withdrawal periods (food animals)."
])

add_heading(doc, "3. Assignment Instructions", level=1)
add_bullets(doc, [
    "Answer all five advanced clinical cases below.",
    "For each case, follow the 10-step protocol in Section 2.",
    "Use concise, clinical language and justify key decisions.",
    "Include at least 2 recent peer-reviewed references per case where appropriate.",
    "Submit as an individual report (2500-3500 words)."
])

add_heading(doc, "4. Advanced Clinical Cases", level=1)

add_heading(doc, "Case 1: Bovine Postpartum Infertility in a High-Yield Dairy Cow", level=2)
doc.add_paragraph(
    "A 4-year-old Holstein cow, 75 days postpartum, has not shown clear estrus. Milk yield is high; BCS is 2.25/5. "
    "History includes retained fetal membranes and metritis treated on farm at 10 days postpartum. Herd conception rates have declined."
)
doc.add_paragraph("Tasks:")
add_bullets(doc, [
    "Construct differential diagnoses (anestrus, endometritis, ovarian cystic disease, negative energy balance-associated dysfunction, silent heat).",
    "Design a stepwise diagnostic plan at cow and herd level.",
    "Propose a treatment/synchronization protocol with timeline.",
    "Define herd-level corrective actions and KPIs for follow-up over 3 cycles."
])

add_heading(doc, "Case 2: Equine Mare with Persistent Breeding Failure", level=2)
doc.add_paragraph(
    "A 10-year-old Thoroughbred mare has failed to conceive after 3 cycles with natural cover. "
    "No obvious systemic disease; mild pneumovagina noted. Previous uterine culture was inconsistently positive."
)
doc.add_paragraph("Tasks:")
add_bullets(doc, [
    "Build a decision tree for uterine vs. cervical vs. ovulatory vs. semen-related factors.",
    "Prioritize diagnostics (endometrial cytology/culture, biopsy, reproductive ultrasound, perineal conformation assessment).",
    "Recommend cycle-timed therapeutic interventions and breeding management adjustments.",
    "Develop prognosis categories (good/fair/guarded) based on findings."
])

add_heading(doc, "Case 3: Canine Dystocia in Late Stage II Labor", level=2)
doc.add_paragraph(
    "A 3-year-old brachycephalic bitch in active labor for 4 hours has delivered one puppy and now has strong contractions "
    "without progress for 60 minutes. Fetal heart rates are borderline on ultrasound."
)
doc.add_paragraph("Tasks:")
add_bullets(doc, [
    "Apply emergency triage and maternal-fetal risk stratification.",
    "Decide medical management vs. immediate cesarean section and justify thresholds.",
    "Outline anesthetic/analgesic and neonatal resuscitation decision points.",
    "Propose a post-operative reproductive counseling plan."
])

add_heading(doc, "Case 4: Caprine Abortion Storm in a Semi-Intensive Unit", level=2)
doc.add_paragraph(
    "A goat farm reports 12 abortions in 10 days (mid- to late-gestation). Two does retained placentas. "
    "No recent vaccination updates; new animals were introduced 6 weeks ago."
)
doc.add_paragraph("Tasks:")
add_bullets(doc, [
    "Construct an outbreak-oriented differential list (infectious and non-infectious).",
    "Specify immediate biosecurity and sampling priorities.",
    "Create a farm-level decision protocol for containment, treatment, and breeding calendar recovery.",
    "Address zoonotic risk communication and public health reporting obligations."
])

add_heading(doc, "Case 5: Breeding Soundness Decision in a Valuable Bull", level=2)
doc.add_paragraph(
    "A 5-year-old breeding bull with reduced pregnancy rates in a natural service herd is presented pre-season. "
    "Physical exam shows mild hind-limb lameness; scrotal asymmetry is suspected."
)
doc.add_paragraph("Tasks:")
add_bullets(doc, [
    "Develop a complete breeding soundness examination (BSE)-based decision protocol.",
    "Interpret possible semen abnormalities and classify breeding suitability.",
    "Recommend management options (rest/treatment/retest/cull) with economic justification.",
    "Propose herd mitigation while the bull is under evaluation."
])

add_heading(doc, "5. Required Answer Template (Use for Each Case)", level=1)
add_numbered(doc, [
    "Problem representation (3-5 lines)",
    "Top differential diagnoses with rationale",
    "Diagnostic algorithm (flow format acceptable)",
    "Risk category and urgency level",
    "Decision selected and alternatives rejected",
    "Treatment/procedure protocol",
    "Monitoring and recheck plan",
    "Prevention and long-term reproductive strategy",
    "Ethics, welfare, and communication notes",
    "References"
])

add_heading(doc, "6. Grading Rubric (100 Marks)", level=1)

table = doc.add_table(rows=1, cols=3)
hdr = table.rows[0].cells
hdr[0].text = "Criterion"
hdr[1].text = "Weight"
hdr[2].text = "Performance Indicators"

rubric_rows = [
    ("Clinical reasoning and differential quality", "20", "Relevance, depth, logical prioritization"),
    ("Diagnostic protocol design", "20", "Appropriate test sequencing and justification"),
    ("Decision-node justification", "20", "Clear thresholds for intervention/referral/surgery"),
    ("Treatment and monitoring quality", "15", "Correct, practical, species-appropriate plans"),
    ("Herd/population-level prevention strategy", "10", "Feasible long-term control and KPI use"),
    ("Communication, ethics, and welfare integration", "10", "Owner consent, welfare safeguards, public health awareness"),
    ("Use of evidence and referencing", "5", "Relevant and recent literature support")
]

for c, w, p in rubric_rows:
    row = table.add_row().cells
    row[0].text = c
    row[1].text = w
    row[2].text = p

add_heading(doc, "7. Suggested Reading", level=1)
add_bullets(doc, [
    "Noakes DE, Parkinson TJ, England GCW. Veterinary Reproduction and Obstetrics.",
    "Youngquist RS, Threlfall WR. Current Therapy in Large Animal Theriogenology.",
    "Johnston SD, Root Kustritz MV, Olson PNS. Canine and Feline Theriogenology.",
    "Recent review literature in Theriogenology and related veterinary reproduction journals."
])

add_heading(doc, "8. Submission Checklist", level=1)
add_bullets(doc, [
    "All 5 cases attempted",
    "10-step protocol used consistently",
    "Word count within range",
    "Figures/flowcharts labeled if used",
    "References formatted consistently"
])

output_path = "/home/daytona/workspace/theriogenology-assignment/Decision_Making_Protocols_in_Advanced_Clinical_Case_Handling_in_Theriogenology_DVM_Assignment.docx"
doc.save(output_path)
print(output_path)