How it works

From patient link to clinical summary before you enter the exam room.

Mari takes the history, builds the differential, and flags what not to miss — all before the appointment starts.

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Trial link and onboarding guide delivered within 24 hours.

1Send a Mari link to patient

2Mari does the interview

3Detailed note ready for you

HPI

ROS

PMH

DDX

NEXT STEPS

See it in action Sending a link takes 10 seconds. This is what comes back.

What you receive

Walk in knowing the story.

The summary is waiting before you enter the exam room.
Not a transcript — a structured clinical document.

Example Mari output 59-year-old man · 3-month epigastric pain · anonymized

One-liner

59-year-old man with T2DM presenting with a 3-month history of worsening intermittent severe epigastric and periumbilical abdominal pain radiating to the back associated with postprandial nausea, bloating, and 8 lb weight loss.

History of Present Illness

This is a 59-year-old man presenting with a 3-month history of worsening intermittent abdominal pain. Pain is severe, aching and cramping, located in the epigastric and periumbilical regions with radiation to the central back. Episodes occur daily, typically during or after eating with onset 30–60 minutes postprandially, lasting 15 minutes to 2 hours. Pain sometimes has sudden onset and limits activities or requires rest.

Associated symptoms include postprandial nausea, mild constipation-associated bloating without visible distention, eating less due to pain despite preserved appetite, and 8 lb weight loss. Also reports recent high blood sugars. No history of similar symptoms.

Review of Systems

General

Weight loss of 8 lb

Fevers, Chills, Unusual sweating, Unusual fatigue, Weight gain

HEENT

Mouth sores, Dysphagia, Face or tongue swelling

Cardiovascular

Chest discomfort, Palpitations, Leg swelling, Syncope, Lightheadedness

Respiratory

Cough, Shortness of breath

Intermittent severe epigastric and periumbilical abdominal pain radiating to the central back, Postprandial nausea, Postprandial bloating, Eating less due to pain

Vomiting, Diarrhea, Constipation, Hematochezia, Melena, GERD symptoms, Increased flatus, Excessive burping, Oily or greasy stools, Pale or light-colored stools, Abdominal or groin lump

Dysuria, Urinary frequency, Difficulty urinating or weak stream, Hematuria, Discolored urine

Neuro

Headache, Confusion, Numbness or tingling, Muscle weakness, Difficulty concentrating

MSK / Rheum

Back pain, Joint pain, Myalgias

Heme

Easy bruising, Pale skin

Derm

Rash or itching, Yellow skin, Darker skin

Infectious Disease

Recent antibiotic use, Travel outside the US, Animal exposures, Camping/backpacking/hiking, Swimming in river/lake/beach, Floodwater or mud exposure

Other

Recent high blood sugars

No alcohol exposure change, No new medication, No new vitamins or supplements

Past Medical History

PMH: Type 2 diabetes mellitus, hyperlipidemia, gout, chronic low back pain

PSH: Not reported

Medications: Metformin 1000 mg BID, ASA 81 mg, atorvastatin 40 mg daily, allopurinol 300 mg daily, empagliflozin 10 mg daily, naproxen PRN

Allergies: NKDA

Family History: Not reported

Social History: Not reported

Physical Exam

No physical exam or notes recorded.

Diagnoses to Consider Re-generate DDx

Chronic mesenteric ischemia

Severe postprandial epigastric and periumbilical pain beginning 30–60 minutes after eating with weight loss and food avoidance is classic for intestinal angina. Diabetes and hyperlipidemia substantially increase atherosclerotic risk.

Pancreatic neoplasm

Epigastric pain radiating to the back, postprandial worsening, unintentional weight loss, and recent worsening hyperglycemia raise concern for pancreatic adenocarcinoma, particularly involving the pancreatic body or tail.

Peptic ulcer disease or NSAID-associated gastritis

Epigastric pain with postprandial exacerbation and intermittent naproxen exposure could reflect gastric ulcer disease or gastritis. The absence of melena or vomiting does not exclude ulcer disease.

Pancreaticobiliary disease (chronic pancreatitis, pancreatic duct obstruction, biliary pathology)

Postprandial upper abdominal pain radiating to the back with nausea may arise from pancreatic or biliary pathology. Diabetes can coexist with chronic pancreatic disease even without steatorrhea or alcohol exposure.

Structural/mechanical upper gastrointestinal disease (gastric outlet obstruction, gastric malignancy, or severe peptic stricture)

Progressive meal-related pain with reduced oral intake and weight loss may reflect a mechanical upper GI process or gastric malignancy despite the absence of vomiting or dysphagia.

Do Not Miss

Pancreatic adenocarcinoma

Back-radiating epigastric pain, weight loss, and worsening diabetes in a man near age 60 are concerning for pancreatic malignancy, which may initially present subtly.

Abdominal aortic aneurysm or aortic dissection

Abdominal pain radiating to the back in an older man with vascular risk factors warrants exclusion of significant aortic disease even without hemodynamic instability.

Mesenteric arterial thrombosis or critical mesenteric ischemia

Progressive postprandial abdominal pain with food avoidance and vascular risk factors could represent advanced mesenteric ischemia with risk for bowel infarction.

Upper gastrointestinal malignancy

Weight loss and persistent postprandial epigastric pain may reflect gastric or duodenal malignancy despite absence of overt GI bleeding.

Next Steps to Consider

Focused Vascular and Abdominal Examination

Labs: CBC with Differential, Comprehensive Metabolic Panel, Lipase, ESR/CRP, Lactate, Hemoglobin A1c

CT Angiography Abdomen/Pelvis

CT Abdomen/Pelvis with Pancreatic Protocol

Electrocardiogram

Under your control

Edit the history. Regenerate the differential.

Update anything in the clinical note and run the differential again. Every output stays under your control.

The patient experience

Your patient comes ready.

The interview takes 4–12 minutes. Most patients complete it.

Sent automatically before the appointment
Works on any phone or computer — no app required
Plain language throughout — accessible for low digital literacy

"It asked me things my own doctor never has time to."

Patient feedback | Paraphrased | Written consent

If a patient can't complete it themselves, your MA can run the interview in person — same summary, either way.

‹ Gmail

M Mari Restart

11% complete

On what side of your abdomen is your pain located?

Both sides

Does the pain travel or spread elsewhere at the same time?

It does not travel or spread

Can you describe your pain for me?

Select all that apply

Cramping Aching Throbbing Dull Pressure Sharp Stabbing Burning

Other I'm not sure

The clinical logic

Structured questions. Not a chatbot.

Mari works from fixed clinical pathways, not a freeform conversation. Every presentation gets every relevant question, in the same order, every time. The differential follows from a complete, structured history.

Questions built around the clinical presentation

Abdominal pain. Chest pain. Shortness of breath. Each pathway follows how a physician would think through the case.

Informed by the full chart

A patient with known hypertension presenting with headache gets different questions than a patient without hypertension.

Literature-supported, physician-reviewed

Differential diagnoses informed by the literature. The team behind Mari brings 45+ combined years of primary care practice.

Consistency

Doesn’t improvise.

Most interview tools generate questions from what the AI produces in the moment. The questions can vary — so can what gets missed.

Mari doesn’t generate questions. The pathways are physician-authored, so the same complaint gets the same questions, in the same clinical order, every time.

Security & compliance

Built for the clinical environment.

HIPAA compliant. BAA available on request — part of standard onboarding, not a separate procurement step.

Encrypted in transit and at rest. Patient data is never used to train AI models.

EHR integration available. Access is scoped to the fields Mari needs for the interview. Nothing extra is stored.

Full security and compliance details →

Try Mari free for 60 days.

No EHR required. No long-term commitment.

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