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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

Demonstrate the utility of an illness script in clinical reasoning 4.- 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. lab tests, imaging, and/or pathology).

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? Acute onset psychosis is relatively rare.

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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.