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

PEMBlog

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. When should the emergency physician obtain lab tests to medically clear such patients?

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

In the case presented, the patients blood pressure was significantly elevated, and she exhibited symptoms indicative of end-organ involvement, including altered mental status, headache, and nausea. Additional lab testing can be completed to account for the broader differential diagnoses. Labetalol dosing: 0.2-1

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

GeriPal

We now have biomarkers that can reasonably approximate the degree of amyloid build-up in the brain with a simple blood test. We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. But these tests were never designed to diagnose. Great to be back.

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What can we learn from simulations? Amber Barnato

GeriPal

So most of our medical schools have simulation centers. I think the first time I noticed it was, like as a medical student when you would rotate on one service with one attending and they would make decisions about how to treat a case one way. We use simulation all the time in training our physicians.

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Podcast Episode: Febrile Seizures

PEMBlog

Do All Children Who Present With a Complex Febrile Seizure Need a Lumbar Puncture? Obviously, you should ask about immunization status and whether or not the child has any underlying medical or neurologic problems or developmental delay. And use lab tests, and especially CT scans of the brain judiciously. Ann Emerg Med.

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