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Clinical Reasoning Corner: Illness Script

The 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.- Practice applying an illness script as a learning tool What is an Illness script? 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

Yet moral injury is not an official diagnosis. Enter the real diagnosis—human rights violations—with clear evidence-based solutions. In medicine, combating illness requires primary, secondary, and tertiary prevention. Secondary prevention reduces impact of established illness (antidepressants).

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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. I just had lab tests done.

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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. They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. There’s that recognition piece.

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Exploring the Nature of Chronic Pain with Haider Warraich

GeriPal

Alex: I also appreciate the multifaceted view you have on pain in the way it teaches us, in the way it teaches our children not to touch a hot stove, in the way pain has been used for good or for ill by religion as way of interpreting a spiritual experience, and the richness within which we have experienced and viewed pain over time.