Remove Consulting Remove Diagnose Remove Physicals Remove Utilities
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You don’t need X-Rays to tell if a child is constipated

PEMBlog

Use of abdominal radiographs to diagnose constipation has been associated with increased diagnostic error, possibly due to the cognitive bias of search satisfaction. In a portion of cases a false diagnosis is given of constipation resulting in missed diagnoses and increased return visits. 2017;186:87-94.e16. PMID: 28457526.

Diagnosis 122
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Using technology to reclaim our time

Today's Hospitalist

At its core, the technology utilizes sophisticated speech recognition to transcribe a conversation in the exam room or at the bedside. These systems also provide a consistent note structure, which can improve the overall readability and utility of patient records. That’s the essence of ambient dictation.

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

PEMBlog

They carry existing diagnoses and are followed by outpatient mental health providers. In those without psychosis, those with likely psychosocial issues, especially those with a prior history of psychiatric diagnoses, and with reassuring history and exam, lab tests are not necessary to exclude a medical condition. Health Aff (Millwood).

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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Eric: I also wonder, is it just the utilization review standpoint?

Hospital 124
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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

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Who should get Palliative Care? Kate Courtright

GeriPal

We can’t possibly meet the needs of all people with newly diagnosed serious illness. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. I have never myself called a palliative care consult as a trainee because we didn’t have one.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. You won’t be able to diagnose them on history and physical alone. And biochemical testing is really needed in most cases to independently diagnose a specific IEM.