article thumbnail

Working Out – Dan Minter

The Clinical Problem Solvers

If you’re anything like me, you’ve probably found yourself asking that question after listening to a discussant on the podcast arrive at some unexpected diagnosis, only to have the biopsy or lab test prove them right.

article thumbnail

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? They carry existing diagnoses and are followed by outpatient mental health providers. 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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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

GeriPal

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

article thumbnail

Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

article thumbnail

What can we learn from simulations? Amber Barnato

GeriPal

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging.

article thumbnail

Exploring the Nature of Chronic Pain with Haider Warraich

GeriPal

I think defining pain as in identifying what exactly is the nature of the pain, not only may you may change what type of therapy that you get benefit from, but it might alert you to a diagnosis that may have been missed in the past. Haider: Well, first he would never die without a diagnosis. And what might happen to him today?