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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

Today we are going to talk about Illness scripts ! Define an illness script 2.- Describe the core components of an illness script 3.- Demonstrate the utility of an illness script in clinical reasoning 4.- Practice applying an illness script as a learning tool What is an Illness script? So let’s dive in!

Illness 52
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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

Would I’ve been able to reason my way to his underlying diagnosis from the initial data? I find it awe-inspiring to listen to clinicians pick up on subtle clues and use both intuitive and analytic reasoning to reach a final diagnosis. Part of the problem is that we are still figuring out this illness.

Illness 52
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Problem Representation

The Clinical Problem Solvers

A problem representation (PR, or Summary Statement) is an evolving, concise summary that highlights the defining features of a case , helping clinicians generate a focused differential diagnosis and identify the next steps in diagnosis and treatment. One more important point: the problem representation is dynamic. Who is the patient?

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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). A lung biopsy demonstrated necrotizing granulomatous inflammation, and a diagnosis of GPA was made. It’s important to remember that GPA is a systemic illness with a variety of manifestations across multiple organ systems.

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Time spent diagnosing, monitoring, and treating asymptomatic prostate cancer in men with limited life expectancy distracts from monitoring and treating their symptomatic life-limiting illnesses. Also, limited life expectancy increases the likelihood of complications from most procedures, including radiation therapy.

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Arterial vs. Venous Ulcers of the Lower Extremity

Vascular Physician

Other risk factors affecting the elasticity and patency of arteries include uncontrolled diabetes, ill-fitting footwear, and advanced age. Diagnosis and Treatment: A thorough examination of circulation and inspection of the ulcers are the first steps in making the correct diagnosis.

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. Pediatrics. Hosp Pediatr.