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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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You don’t need labs to medically clear a psych patient

PEMBlog

When should the emergency physician obtain lab tests to medically clear such patients? There is abundant evidence showing that routine lab tests in such patients have a very low yield and are not indicated, in adults as well as in children. Decades ago, psychiatric complaints in the pediatric ED were infrequent.

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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

During that time, psychologist Herbert Freudenberger volunteered at a New York City free clinic treating addiction. He overheard the term and used it to describe himself and clinic staff in a 1974 article on staff burnout detailing long-term physical and psychological job stress. Yet moral injury is not an official diagnosis.

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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. So we now have blood tests that can reasonably approximate the degree of amyloid buildup in the brain. Nate 00:25 Thanks for having me.

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What can we learn from simulations? Amber Barnato

GeriPal

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Welcome to the GeriPal Podcast, Amber.

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Exploring the Nature of Chronic Pain with Haider Warraich

GeriPal

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. But that is really the nature of this experience.