Update app.py

app.py

@@ -1,51 +1,100 @@
 import streamlit as st
+import time
 
-# Title and introduction
-st.title("Case-Based Learning: Compartment Syndrome")
-st.write("**Case:** A 25-year-old male with a tibial fracture from a motorcycle accident.")
-st.write("**Presentation:** Severe pain in the lower leg, swelling, and difficulty moving his toes.")
-st.image("1.jpg", caption="Initial Presentation", use_container_width=True)
-
-# Scene 1: Initial choice
-st.subheader("Scene 1: Patient Arrives at ER")
-choice_1 = st.radio(
-    "What will you do first?",
-    ["Select an option", "Examine the leg", "Send for X-ray", "Administer strong analgesics"]
-)
-
-# Proceed only if a valid option is selected
-if choice_1 == "Examine the leg":
-    st.image("2.jpg", caption="Examination Findings", use_container_width=True)
-    st.write("Findings: Swollen, tense leg with pain on passive stretching and decreased sensation.")
-    st.subheader("What is your next step?")
-    choice_2 = st.radio(
-        "Choose an action:",
-        ["Select an option", "Measure compartment pressure", "Monitor and wait", "Repeat physical exam after medication"]
+# Track the current scene
+if "scene" not in st.session_state:
+    st.session_state["scene"] = 1  # Start with Scene 1
+if "pain_increase" not in st.session_state:
+    st.session_state["pain_increase"] = False  # Track pain progression
+
+# Scene 1: Patient arrives at ER
+if st.session_state["scene"] == 1:
+    st.title("Scene 1: Patient Arrives at ER")
+    st.image("1.jpg", caption="Patient presenting with leg pain and swelling", use_container_width=True)
+    st.write("The patient presents with severe pain in the lower leg after a motorcycle accident.")
+
+    choice = st.radio(
+        "What will you do first?",
+        ["Select an option", "Examine the leg", "Send for X-ray", "Administer painkillers"]
     )
-    if choice_2 == "Measure compartment pressure":
-        st.image("3.jpg", caption="Pressure Measurement", use_container_width=True)
+
+    if choice == "Examine the leg":
+        st.image("2.jpg", caption="Exam findings: Swollen leg, no significant tension", use_container_width=True)
+        st.write("Findings: Swollen leg with mild tenderness. Compartment Syndrome is not confirmed.")
+        if st.button("Proceed"):
+            st.session_state["scene"] = 2
+
+    elif choice == "Send for X-ray":
+        st.image("3.jpg", caption="X-ray: Tibial fracture observed", use_container_width=True)
+        st.write("Findings: Tibial fracture confirmed. This does not rule out Compartment Syndrome.")
+        if st.button("Go Back"):
+            st.session_state["scene"] = 1
+
+    elif choice == "Administer painkillers":
+        st.image("4.jpg", caption="Painkillers administered", use_container_width=True)
+        st.success("The patient reports feeling better for now.")
+        st.session_state["pain_increase"] = True  # Pain will worsen later
+        if st.button("Proceed"):
+            st.session_state["scene"] = 2
+
+# Scene 2: Monitoring or Further Action
+elif st.session_state["scene"] == 2:
+    st.title("Scene 2: Monitoring or Further Action")
+    st.write("The patient is stable for now. What would you like to do?")
+    choice = st.radio(
+        "Choose your next step:",
+        ["Select an option", "Monitor and Wait", "Repeat Exam", "Measure Compartment Pressure"]
+    )
+
+    if choice == "Monitor and Wait":
+        st.write("Monitoring the patient... Please wait.")
+        time.sleep(5)  # Simulate waiting time
+        if st.session_state["pain_increase"]:
+            st.warning("The patient reports severe pain again.")
+            st.session_state["scene"] = 3
+
+    elif choice == "Repeat Exam":
+        st.image("5.jpg", caption="Repeat examination shows no major changes", use_container_width=True)
+        st.write("Findings: The swelling remains mild. Compartment Pressure is not elevated yet.")
+        if st.button("Go Back"):
+            st.session_state["scene"] = 2
+
+    elif choice == "Measure Compartment Pressure":
+        st.image("6.jpg", caption="Compartment pressure measurement", use_container_width=True)
+        st.write("Results: Compartment pressure is within normal limits at this time.")
+        if st.button("Proceed"):
+            st.session_state["scene"] = 2
+
+# Scene 3: Progression of Symptoms
+elif st.session_state["scene"] == 3:
+    st.title("Scene 3: Worsening Symptoms")
+    st.write("The patient's symptoms are worsening: severe pain, tense swelling.")
+    choice = st.radio(
+        "Choose your next step:",
+        ["Select an option", "Re-check Compartment Pressure", "Continue Monitoring"]
+    )
+
+    if choice == "Re-check Compartment Pressure":
+        st.image("7.jpg", caption="Re-measurement of Compartment Pressure", use_container_width=True)
         st.success("Pressure >30 mmHg. Confirmed Compartment Syndrome.")
-        st.write("**Action:** Perform fasciotomy immediately.")
-        st.image("4.jpg", caption="Fasciotomy Procedure", use_container_width=True)
-        st.success("Outcome: Patient improves, damage prevented.")
-    elif choice_2 == "Monitor and wait":
-        st.image("5.jpg", caption="Monitoring Patient", use_container_width=True)
-        st.error("Condition worsens. Outcome: Permanent damage or amputation.")
-    elif choice_2 == "Repeat physical exam after medication":
-        st.image("6.jpg", caption="Repeat Examination", use_container_width=True)
-        st.warning("Findings: Swelling worsens, sensory loss increases.")
-        st.write("**Action:** Proceed to measure compartment pressure.")
-        st.image("3.jpg", caption="Pressure Measurement", use_container_width=True)
-        st.success("Outcome: Pressure >30 mmHg. Perform fasciotomy.")
-
-elif choice_1 == "Send for X-ray":
-    st.image("7.jpg", caption="X-ray Findings", use_container_width=True)
-    st.write("Findings: Tibial fracture noted. Still suspect Compartment Syndrome based on symptoms.")
-    st.write("Proceed to re-evaluate the patient.")
-
-elif choice_1 == "Administer strong analgesics":
-    st.image("8.jpg", caption="Administering Pain Relief", use_container_width=True)
-    st.warning("Pain worsens despite medication. Signs of compartment syndrome persist.")
-    st.write("**Action:** Reassess and proceed to examination or measure compartment pressure.")
-else:
-    st.write("Please select an option to proceed.")
+        st.session_state["scene"] = 4
+
+    elif choice == "Continue Monitoring":
+        st.error("The patient's condition worsens further. Necrosis has begun.")
+        st.session_state["scene"] = 4
+
+# Scene 4: Treatment
+elif st.session_state["scene"] == 4:
+    st.title("Scene 4: Treatment")
+    st.write("What action will you take?")
+    choice = st.radio(
+        "Choose your treatment:",
+        ["Select an option", "Perform Fasciotomy", "Delay Treatment"]
+    )
+
+    if choice == "Perform Fasciotomy":
+        st.image("8.jpg", caption="Fasciotomy performed", use_container_width=True)
+        st.success("Outcome: Patient recovers with minimal damage.")
+    elif choice == "Delay Treatment":
+        st.image("9.jpg", caption="Delayed treatment leads to necrosis", use_container_width=True)
+        st.error("Outcome: Permanent damage or amputation required.")