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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

In the reasoning process, we use illness scripts to compare and contrast a patient’s clinical presentation (i.e., our own illness scripts) as we reason to a working diagnosis or a final diagnosis. So the illness script we developed as a first-year medical student will evolve over time. Why: The disease mechanism.

Illness 52
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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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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. Summary Transcript CME Summary Things are changing quickly in the Alzheimers space.

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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.

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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.