500;600;700&family=Newsreader:opsz,wght@6..72,400;6..72,500;6..72,600&display=swap');
:root{--wine:#5a0036;--ivory:#fff8ee;--ink:#1a1a1f;--coral:#e1063a;--muted:#6c6164;--line:#e4d8d2;--pale:#f1e5e7;--green:#236454;--serif:'Newsreader',Georgia,serif;--sans:'Inter',Arial,sans-serif}*{box-sizing:border-box}html{scroll-behavior:smooth}body{margin:0;background:var(--ivory);color:var(--ink);font:16px/1.65 var(--sans)}button,input,textarea,select{font:inherit}a{color:var(--wine);text-underline-offset:4px}button,a{touch-action:manipulation}button{cursor:pointer}button:focus-visible,a:focus-visible,textarea:focus-visible,input:focus-visible,select:focus-visible,summary:focus-visible{outline:3px solid #c57a8c;outline-offset:4px}.skip{position:absolute;top:-80px;left:20px;background:white;padding:12px;z-index:30}.skip:focus{top:10px}.masthead{height:88px;padding:0 4vw;display:flex;align-items:center;justify-content:space-between;border-bottom:1px solid var(--line);background:var(--ivory)}.brand{font:500 24px 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0}.section-label{font-size:12px;letter-spacing:1.5px;color:var(--wine);font-weight:600;text-transform:uppercase;margin-bottom:20px}.chapter-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:16px;margin:26px 0 46px}.chapter-card{background:#fffdf9;border:1px solid var(--line);padding:26px 24px;text-decoration:none;transition:transform .2s}.chapter-card:hover{transform:translateY(-3px)}.chapter-card .n{font:36px var(--serif);color:#b894a1}.chapter-card h3{font-size:27px;margin:20px 0 15px;color:var(--wine)}.chapter-card p{font-size:13px;color:var(--muted)}.chapter-card .time{font-size:11px;letter-spacing:1px}.overview-copy{max-width:760px}.objectives{padding-left:23px;font-size:15px}.objectives li{padding-left:7px;margin:13px 0}.body-copy{max-width:760px}.body-copy p{font:17px/1.82 var(--sans);margin:0 0 22px;color:#3e3439}.reading-section{margin:42px 0}.reading-section h2{font-size:32px}.references-inline{font-size:11px;display:flex;gap:12px;flex-wrap:wrap;margin-top:8px}.figure{margin:36px 0 40px;background:#fffdf9;border:1px solid var(--line);padding:18px}.figure img{display:block;width:100%}.figure figcaption{font-size:11px;color:var(--muted);padding:8px 12px 0}.pullquote{padding:25px 28px;background:#f2e6e5;border-left:3px solid var(--wine);font:26px/1.4 var(--serif);color:var(--wine);margin:32px 0}.case{border:1px solid #cfb6bf;background:#fffdf9;padding:30px;margin:30px 0}.case h3{color:var(--wine);margin-bottom:15px}.case-label{font-size:10px;letter-spacing:1.5px;text-transform:uppercase;color:var(--muted);margin-bottom:12px}.story{font-size:15px;line-height:1.75}.prompt{font-weight:600;font-size:15px;margin:24px 0 15px}.options{display:grid;gap:9px}.option{display:flex;text-align:left;gap:12px;align-items:flex-start;background:transparent;border:1px solid var(--line);color:var(--ink);padding:13px 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var(--line);font-size:11px;letter-spacing:1px;color:var(--wine);display:flex;justify-content:space-between;gap:20px}footer span{color:var(--muted);letter-spacing:0}#toast{position:fixed;bottom:24px;left:50%;transform:translateX(-50%);background:var(--ink);color:white;padding:12px 20px;border-radius:4px;font-size:13px;opacity:0;pointer-events:none;transition:opacity .2s;z-index:20}#toast.show{opacity:1}.loading{font:30px var(--serif);padding:50px 0}.check{color:var(--green)}.tiny{font-size:11px}body.print-mode .masthead,body.print-mode aside,body.print-mode footer{display:none}body.print-mode .layout{display:block}
@media(max-width:1000px){.layout{grid-template-columns:195px minmax(0,1fr)}aside{padding:32px 15px}main{padding:42px 32px}.hero{grid-template-columns:1fr}.hero img{display:none}.chapter-grid{grid-template-columns:1fr}.chapter-card{display:grid;grid-template-columns:40px 1fr;gap:5px 18px;padding:22px}.chapter-card h3{margin:0}.chapter-card p,.chapter-card .time{grid-column:2;margin:2px 0}}@media(max-width:700px){.masthead{height:72px;padding:0 20px}.brand{font-size:20px}.review-label{display:none}.header-right{gap:5px}.layout{display:block}aside{position:relative;height:auto;border-right:0;border-bottom:1px solid var(--line);padding:14px 18px}.course-label,.local-note,.download-side,.progress-label{display:none}nav{flex-direction:row;overflow-x:auto;gap:7px;padding-bottom:6px}nav a{white-space:nowrap;padding:9px 11px;font-size:12px}.navnum{display:none}.progress-track{margin:8px 0 0}main{padding:34px 22px 50px}h1{font-size:47px}.lead{font-size:17px}.meta{gap:10px 16px}.body-copy p{font-size:16px}.case{padding:22px 18px}.tool-grid{grid-template-columns:1fr}.next-panel{align-items:flex-start;flex-direction:column}.score{padding:24px;gap:22px}.score-number{font-size:54px}.video-box{padding:12px}.figure{padding:8px}footer{display:block;padding:20px}footer span{display:block;margin-top:7px}}
@media(prefers-reduced-motion:reduce){html{scroll-behavior:auto}*{transition:none!important;animation:none!important}}@media print{.masthead,aside,footer,.actions,.next-panel,video,.text-button,#toast{display:none!important}.layout{display:block}main{padding:0}.case,.exercise,.tool-card{break-inside:avoid}body{background:white;font-size:11pt}.body-copy p{font-size:11pt}.figure{break-inside:avoid}a{color:black}h1{font-size:30pt}h2{font-size:22pt}}

.faculty-block,.activity-info{margin:48px 0}.faculty-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:14px;margin-top:24px}.faculty-card{border-top:2px solid var(--wine);padding:22px 20px;background:#fffdf9}.faculty-card h3{font-size:23px;margin-bottom:12px}.faculty-card p{font-size:13px;line-height:1.7}.faculty-card .faculty-name{font-weight:600;color:var(--wine)}.activity-info details{padding:16px 0;border-bottom:1px solid var(--line)}.specialist-brief{padding:24px;border:1px solid var(--line);background:#fffdf9}.specialist-brief h3{font-size:25px;margin-top:20px}.specialist-brief p{font-size:14px}.specialist-brief .quiet{font-size:12px}@media(max-width:700px){.faculty-grid{grid-template-columns:1fr}}

/* Original case illustrations: preserve the full artwork at every viewport. */
.case-illustration{padding:0;overflow:hidden}.case-illustration img{width:100%;height:auto;display:block}.case-illustration figcaption{padding:14px 18px 16px;line-height:1.6}.chapter-card{overflow:hidden}.chapter-thumb{display:block;width:calc(100% + 48px);max-width:none;height:auto;margin:-26px -24px 22px}.chapter-card .n{font-size:30px}@media(max-width:1000px){.chapter-thumb{grid-column:1/-1;width:calc(100% + 44px);margin:-22px -22px 17px}.chapter-card .n{grid-column:1;grid-row:2}.chapter-card h3{grid-column:2;grid-row:2}}

.final-case{margin-top:64px;padding-top:32px;border-top:2px solid #5a0036}.exercise select{display:block;width:100%;padding:12px;margin:8px 0 18px;border:1px solid #9f8c94;background:#fff;color:#1a1a1f;font:inherit;border-radius:4px}
/* Current 60-minute review edition */
.sr-only{position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0}.chapter-card img{width:100%;aspect-ratio:4/3;object-fit:cover}.clinical-figure{margin:28px 0}.clinical-figure img{display:block;width:100%;height:auto}.case-intro .clinical-figure{max-width:620px}.caption,.citation{font-size:12px!important;color:var(--muted);overflow-wrap:anywhere}.case .teaching{margin-top:28px}.teaching h3,.body-copy h3{margin-top:28px}.teaching h4{margin-top:24px}.table-wrap{overflow-x:auto;margin:24px 0}table{width:100%;border-collapse:collapse;font-size:14px;line-height:1.55}th,td{border:1px solid var(--line);text-align:left;vertical-align:top;padding:14px}th{background:#efe3e5;color:var(--wine)}.options{border:0;padding:0;margin:22px 0}.options .option{display:flex;gap:14px;align-items:flex-start;text-align:left;padding:14px 16px;border:1px solid var(--line);background:#fffdf9;margin:9px 0;width:100%;font-size:15px;line-height:1.65;cursor:pointer}.options input{flex:none;margin-top:7px;accent-color:var(--wine);width:17px;height:17px}.options .selected,.option:has(input:checked){border-color:var(--wine);background:#f4e9eb}.question{margin:35px 0;padding-bottom:30px;border-bottom:1px solid var(--line)}.question h2{font-size:25px}.feedback{border-left:3px solid var(--green);background:#edf3ef;color:#234737;padding:20px;margin:22px 0}.feedback p:last-child{margin-bottom:0}.fieldlabel{display:block;margin:24px 0 8px;font-weight:600;font-size:14px}select,input[type=date]{width:100%;max-width:560px;border:1px solid #bda9b0;border-radius:3px;background:#fffdf9;padding:12px;color:var(--ink);margin-bottom:18px}textarea{width:100%;min-height:110px;border:1px solid #bda9b0;border-radius:3px;padding:14px;background:#fffdf9;color:var(--ink);resize:vertical;margin-bottom:18px}video{display:block;width:100%;height:auto;margin:24px 0;background:#fff}details{margin:28px 0;border-top:1px solid var(--line);border-bottom:1px solid var(--line);padding:18px 0}summary{cursor:pointer;font-weight:600;color:var(--wine)}details[open] summary{margin-bottom:20px}.patient-intro{display:grid;grid-template-columns:200px 1fr;gap:26px;align-items:center;margin:32px 0}.patient-intro img{width:100%}.reference-list p{overflow-wrap:anywhere}.reference-list p:has(+.citation){margin-bottom:4px}.notice{padding:20px;border:1px solid var(--line);margin:25px 0;background:#fffdf9}.button:disabled{cursor:default}.case{scroll-margin-top:20px}.case h2{font-size:30px}.teaching p{font-size:16px;line-height:1.75}.quiet{font-size:13px;color:var(--muted)}
@media(max-width:800px){.layout{display:block}aside{position:static;height:auto;border-right:0;border-bottom:1px solid var(--line);padding:22px}nav{display:grid;grid-template-columns:repeat(2,minmax(0,1fr))}.progress-label{margin-top:20px}.download-side,.local-note{margin-top:12px}main{padding:32px 22px 50px}.hero{grid-template-columns:1fr}.hero>img{max-width:420px}.chapter-grid{grid-template-columns:1fr}.chapter-card{display:grid;grid-template-columns:100px 1fr;gap:0 18px}.chapter-card img{grid-row:1/5;align-self:center}.chapter-card .n{display:none}.chapter-card h3{margin:0 0 8px}.chapter-card p{margin:0 0 12px}.header-right{gap:12px}.masthead{height:auto;min-height:80px;padding:18px 22px}.review-label{max-width:90px;font-size:9px}.brand{font-size:19px}.case{padding:20px}.patient-intro{grid-template-columns:1fr}.patient-intro img{max-width:250px}.table-wrap{max-width:100%}th,td{min-width:160px}h1{font-size:44px}.case h2{font-size:28px}}
@media(prefers-reduced-motion:reduce){html{scroll-behavior:auto}*{transition:none!important;animation:none!important}}
@media print{aside,.masthead,footer,#toast,.actions,.button,.secondary{display:none!important}.layout{display:block}main{padding:0}body{background:white}textarea{border:1px solid #aaa;min-height:90px}select{appearance:none}}

/* Case portraits introduce the patient; clinical figures remain full width. */
.case-portrait{max-width:420px;margin:1rem 0}.teaching-figure img{width:100%;height:auto}.case-intro .clinical-figure{margin-top:.75rem;margin-bottom:.75rem}

.options{min-inline-size:0;padding:0;border:0}.option{overflow-wrap:anywhere}.option input{flex:0 0 auto;margin-top:4px}#toast{max-width:calc(100vw - 32px);width:max-content}input[type=date]{max-width:100%;padding:12px;border:1px solid #cdbdc1;background:#fffdf9;color:var(--ink)}
@media(max-width:400px){h1{font-size:36px;overflow-wrap:break-word}.brand{font-size:17px;letter-spacing:1px}main{padding-left:16px;padding-right:16px}.case{padding:16px}nav a{white-space:normal}.chapter-card{grid-template-columns:80px minmax(0,1fr);padding:16px}.chapter-card p{overflow-wrap:anywhere}}

.course-information-link{margin:20px 0;font-size:14px}.course-summary{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:18px;margin:28px 0;padding:24px;border:1px solid var(--line);background:#fffdf9}.course-summary span{display:block;color:var(--muted);font-size:12px;margin-bottom:6px}.course-summary strong{font-size:15px}.body-copy li{margin-bottom:12px}.orientation-panel video{max-width:840px}@media(max-width:650px){.course-summary{grid-template-columns:1fr}}

/* Activity information follows a familiar CME entry structure. */
.course-information{margin:38px 0 48px;border:1px solid var(--line);background:#fffdf9;min-width:0}.info-tabs{display:flex;overflow-x:auto;border-bottom:1px solid var(--line);gap:0;padding:0 18px}.info-tabs button{border:0;border-bottom:3px solid transparent;background:none;color:#5e5458;padding:18px 15px;font-size:13px;font-weight:500;white-space:nowrap;min-height:48px}.info-tabs button[aria-selected=true]{border-bottom-color:var(--wine);color:var(--wine);font-weight:700}.info-tabs button:focus-visible{outline-offset:-5px}.info-panel{padding:30px 34px;max-width:none}.info-panel[hidden]{display:none}.info-panel h2{font-size:32px;margin-top:0}.info-panel h3{font-size:25px}.info-panel p,.info-panel li{font-size:15px;line-height:1.75}.info-panel ol{padding-left:24px}.info-panel li{padding-left:7px;margin:12px 0}.credit-details{margin:24px 0}.credit-details>div{display:grid;grid-template-columns:150px minmax(0,1fr);gap:20px;padding:14px 0;border-bottom:1px solid var(--line);font-size:14px}.credit-details dt{font-weight:600;color:var(--wine)}.credit-details dd{margin:0}.handoff-preview{display:flex;align-items:center;justify-content:space-between;gap:32px;margin:30px 0 12px;padding:28px;background:#f1e5e7}.handoff-preview p{font-size:14px;max-width:550px;margin-bottom:0}.handoff-preview h3{margin-bottom:12px}.handoff-preview .eyebrow{margin-bottom:14px}.handoff-preview .secondary{flex:none;max-width:260px}.hero .quiet{font-size:12px}.info-panel:focus-visible{outline:2px solid var(--wine);outline-offset:-4px}
@media(max-width:800px){.info-tabs{padding:0 6px}.info-tabs button{padding:16px 12px}.info-panel{padding:24px 20px}.credit-details>div{grid-template-columns:1fr;gap:5px}.handoff-preview{flex-direction:column;align-items:flex-start;padding:24px}.course-information{margin-top:24px}.info-panel h2{font-size:29px}}
@media print{.info-tabs{display:none}.info-panel[hidden]{display:block}.course-information{border:0}.info-panel{padding:16px 0}.handoff-preview{display:block;background:white}}

/* Optional posttest review and readable take-home plan. */
.learning-review{margin:32px 0;padding:28px;border:1px solid var(--line);background:#fffdf9}.learning-review h2{font-size:32px}.learning-review .eyebrow{margin-bottom:12px}.review-domain{display:flex;justify-content:space-between;gap:24px;align-items:center;padding:18px 0;border-bottom:1px solid var(--line)}.review-domain h3{font:600 15px/1.4 var(--sans);margin:0 0 5px}.review-domain p{font-size:13px;margin:0}.review-domain a{font-size:13px;flex-shrink:0}.learning-review .quiet{margin-top:22px}#learning-print{display:none}
@media(max-width:650px){.learning-review{padding:20px}.review-domain{align-items:flex-start;flex-direction:column;gap:8px}.learning-review h2{font-size:28px}}
@media print{body.print-learning>*{display:none!important}body.print-learning>#learning-print{display:block!important;color:#1a1a1f}#learning-print h1{font:24px/1.2 Georgia,serif;letter-spacing:0}#learning-print pre{white-space:pre-wrap;overflow-wrap:anywhere;font:11pt/1.5 Arial,sans-serif;margin-top:20px}@page{size:letter;margin:0.7in}}

.topic-review{margin:36px 0;padding:24px;border:1px solid var(--line);background:#fff}.topic-review h2{margin-top:0}.topic-review td:nth-child(2){white-space:nowrap}.orientation-panel video{width:100%;max-width:100%;aspect-ratio:16/9}video::cue{font-size:1rem}@media(max-width:650px){.topic-review{padding:15px}.topic-review td,.topic-review th{padding:8px;font-size:14px}}

/* Simple completion */
.rating-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:0 1.5rem}.optional-details{margin:1.5rem 0}.media-access-links{display:flex;gap:1rem;flex-wrap:wrap}.media-access-links a:focus-visible{outline:3px solid #315d6d;outline-offset:4px}@media(max-width:650px){.rating-grid{grid-template-columns:1fr}}

/* Short optional practice tool; four fields, no completion gate. */
.simple-worksheet{max-width:720px}.worksheet-field{margin:30px 0}.worksheet-field .fieldlabel{font-size:19px;margin-bottom:6px}.field-help{font-size:15px;color:#60565b;margin:0 0 10px}.simple-worksheet textarea,.simple-worksheet input{box-sizing:border-box;width:100%;font-size:18px;line-height:1.5;padding:14px;min-height:54px}.simple-worksheet textarea{min-height:100px;resize:vertical}.worksheet-example{margin:32px 0;padding:22px;background:#f1e5e7}.worksheet-example h2{font:600 18px/1.3 var(--sans);margin-top:0}.worksheet-example p{line-height:1.8;margin-bottom:0}@media(max-width:600px){.simple-worksheet .actions{display:flex;flex-direction:column;align-items:stretch}.simple-worksheet .actions>*{text-align:center}.worksheet-field .fieldlabel{font-size:18px}}

/* Learner-controlled audio alternatives */
.audio-card{border:1px solid #d8c5cb;background:#fff8ee;border-radius:16px;padding:20px;margin:18px 0;max-width:760px}.audio-heading,.audio-tools,.audio-downloads{display:flex;flex-wrap:wrap;align-items:center;gap:12px}.audio-heading{justify-content:space-between}.audio-card audio{width:100%;display:block;margin:14px 0}.audio-tools .secondary{padding:8px 13px;min-height:44px}.audio-tools select{width:auto;min-width:90px;min-height:44px;margin:0}.audio-downloads{margin-top:14px;gap:20px}.audio-disclosure{font-size:12px;margin-bottom:0}.audio-review-item{margin:34px 0;border-bottom:1px solid #decfd3;padding-bottom:26px}.audio-review-item details{max-width:760px}@media(max-width:540px){.audio-card{padding:14px}.audio-heading{display:block}.audio-tools{gap:8px}.audio-tools .secondary{font-size:14px}.audio-tools label{margin-left:3px}}

/* One question per screen, with a separate answer review before submission. */
.assessment-progress{display:flex;justify-content:space-between;gap:20px;padding:18px 0;border-bottom:2px solid var(--wine);font-size:16px}.single-question{margin-top:24px}.single-question h2{font:600 17px/1.5 var(--sans);margin-bottom:12px}.single-question .prompt{font-size:21px;line-height:1.6}.answer-review{list-style:none;padding:0}.answer-review li{display:flex;gap:24px;justify-content:space-between;align-items:flex-start;padding:24px 0;border-bottom:1px solid var(--line)}.answer-review li>div{min-width:0}.answer-review p{font-size:16px;line-height:1.6}.answer-selection{font-weight:600}.answer-review button{flex-shrink:0;min-height:44px}.single-question .option{min-height:48px}.actions button{min-height:44px}@media(max-width:600px){.assessment-progress{font-size:14px;gap:10px}.answer-review li{flex-direction:column;gap:8px}.single-question .prompt{font-size:19px}.single-question+.actions{display:flex;justify-content:space-between;flex-wrap:wrap}}


/* One clear learner route. */
.linear-course .layout{display:block;max-width:980px;margin:auto}.linear-course aside{position:static;height:auto;border:0;padding:22px 36px 0}.linear-course main{padding:30px 36px 70px}.linear-course nav{display:block;overflow:visible}.course-phases{display:flex;gap:24px;list-style:none;padding:0;margin:0;justify-content:space-between}.course-phases li{display:flex;gap:9px;align-items:center;color:#72676a;font-size:14px}.course-phases li[aria-current]{color:#5a0036;font-weight:700}.course-phases span{display:inline-grid;place-items:center;width:27px;height:27px;border:1px solid #d5c6ca;border-radius:50%}.course-phases li[aria-current] span{background:#5a0036;color:white}.linear-course .progress-label{display:flex;margin:16px 0 7px}.linear-course .progress-track{height:3px;margin:0}.linear-course .entry-details{margin-top:38px}.linear-course .body-copy{max-width:none}.linear-course .media-alternatives audio{width:100%}.linear-course footer{align-items:start}.linear-course footer details{margin:0;padding:0;border:0;letter-spacing:0}.linear-course h1{font-size:clamp(32px,5vw,52px);line-height:1.12}.linear-course .case{padding:24px}.linear-course .rating-grid{grid-template-columns:repeat(2,minmax(0,1fr))}@media(max-width:600px){.linear-course aside{padding:20px 20px 0}.linear-course main{padding:26px 20px 50px}.course-phases{gap:10px}.course-phases li{font-size:12px;gap:6px}.course-phases span{width:23px;height:23px}.linear-course .case{padding:18px 14px}.linear-course footer{display:block}.linear-course footer details{margin-top:15px}.linear-course .rating-grid{grid-template-columns:1fr}}

.course-navigation{display:flex;align-items:center;justify-content:space-between;gap:20px;margin-top:32px}.course-navigation form{margin:0}.back-link{font-size:15px;text-decoration:none;color:#66565f}.course-navigation .button{margin:0}.course-navigation .quiet{max-width:270px}@media(max-width:600px){.course-navigation{gap:14px}.course-navigation .quiet{max-width:210px}}