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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? These labs were not truly indicated, but it was common practice and viewed as “not a big deal.” The key differentiating points in who needs lab tests and who does not are: ‘acute-onset psychosis’ and ‘any abnormal findings on history or exam’.

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Podcast Episode: Febrile Seizures

PEMBlog

Febrile seizures are due to the degree of fever, not the rate of temperature rise, even though we see them as the temperature is increasing rapidly in the early parts of the illness. The majority of children have febrile seizures on the first day of illness. In some cases, it’s actually their first manifestation of illness.

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