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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

By: Franco Murillo Reviewed by: Jack Penner Welcome back, 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.- So let’s dive in!

Illness 52
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Intersections Between Gender, Race/Ethnicity and Marital Status Associations with Depression Symptoms [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Depression remains a prevalent mental health condition, with rates of diagnosis disproportionately increasing for women and Black or Hispanic adults. However, variations in these disparities due to marital status remains unclear. However, males, Asian, AA participants, and NH White individuals did not exhibit the same results.

Illness 130
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Looking for Patterns, Looking for Change and Looking for Incongruity

A Country Doctor Writes

The art of diagnosis is said to be 80% the art of taking a good history of the clinical symptoms. Incongruity can be an issue of what’s around in the home, how a person talks or moves when they are distracted from describing how ill they feel, and many more things. “Oh, I had no idea”, was her answer.

Diagnosis 130
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Episode 90: Clinical unknown with Rabih and Reza at MUSC – fever

The Clinical Problem Solvers

[link] Rabih and Reza tackle a clinical unknown at MUSC with host, Dr. Marc Heincelman. A serologic test for Rickettsia rickettsii returned positive, confirming the diagnosis of “spotless” Rocky Mountain Spotted Fever. She was then started on empiric doxycycline, which resulted in prompt resolution of her fevers.

Clinic 52
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Problem Representation

The Clinical Problem Solvers

Clinical Reasoning Corner: Problem Representation By: Marcela A. de Oliveira Santana and Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers! The problem representation during the clinical reasoning process The PR is linked to hypothesis-generation and can act as a guide during the diagnostic journey.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

The most common BH diagnosis on file for patients with and without a chronic condition was Anxiety disorder, unspecified (17% of patients in either group). Understanding these patterns can help inform clinical care and policy decisions potentially leading to streamlined care and cost-savings.

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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

Welcome back, 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. Some of our favorite articles on the topic are listed below.

Illness 52