PEMBlog

NOVEMBER 18, 2024

Just make a clinical diagnosis dang it! chorus] What happened to the history and physical? You don’t need to send comprehensive viral tests in the majority of children with cough and congestion. Lyrics Adeno, rhino, entero too swabbing a nose just for something to do RSV, HSV, EBV, no! Big viral panels? Show them the door!

Medical 52

Medical Utilities Diagnosis Diagnose 52

PEMBlog

AUGUST 30, 2023

Research suggests most CXRs are performed because ED clinicians (and many parents) are concerned for the possibility of missing pneumonia or another diagnosis requiring specific management. Evaluation of the utility of radiography in acute bronchiolitis. But it’s just a CXR right? Does this child have pneumonia? 2017;318(5):462-471.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

GeriPal

JULY 19, 2024

I’m a dementia specialist, and so what I was experiencing was that many people were coming to see me to get a diagnosis of a very straightforward case of mild Alzheimer’s or moderate Alzheimer’s disease, whose doctors had told them there was nothing wrong with them or that their memory was better than my own, says the doctor.

Screening 120

Screening Primary Care Patient-Centered IT 120

PEMBlog

SEPTEMBER 6, 2023

Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Clinical utility of screening laboratory tests in pediatric psychiatric patients presenting to the emergency department for medical clearance. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

MARCH 14, 2024

Nicole: I was just going to add that I think a helpful analogy for me has been to think about our clinical assessment, sort of like if a physical therapist just stood at the door with their ear up to the door to listen if a patient fell, and then made a recommendation plan for exercise. Raele: Yeah, it’s beautiful, colorful images.

IT 125

IT Hospital Patient-Centered Individual 125

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additionally, hydralazine is another agent that was previously utilized in pediatric hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

JUNE 9, 2022

By diagnosis? And that’s where things like diagnosis triggers, if you will, prognostic triggers, and then the ideal need-based triggers. Eric: Our outpatient service does have guides around diagnosis and prognosis. Or there’s physical symptom needs. Kate: A diagnosis. Is that appropriate at diagnosis?

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Consulting Patient-Centered Diagnosis IT 100

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Inborn errors of metabolism in infancy: a guide to diagnosis. You won’t be able to diagnose them on history and physical alone. You can contact her via email at egroopman@childrensnational.org.

Consulting 59

Consulting Individual Family Families 59

GeriPal

DECEMBER 19, 2024

It’s one of the core things that we think about palliative care is you got the physical, psychological, social and spiritual symptoms. There’s a Boguts case, a patient with anorexia who utilized medical aid and dying. Like 80 to 90% of patients we see have a psychiatric diagnosis. Ptsd, depression, anxiety.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Within eight weeks of diagnosis of advanced disease. We did not just rely on a physical symptom measure, which many of our colleagues are doing.

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Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

Wait, so one key message is that social health is linked to physical and cognitive health?!? And it was her conceptual, like incorporation of functional decline, some measure of functional decline along with a serious illness diagnosis that you’re utilizing here. And the government can do something about that?!?

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. They were slightly mischaracterized.

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Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. But what happened when we finally… When he did get the diagnosis, it all fell into place. Diane: Which too many people do, Malaz. It has multiple prints and updates.

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Patient-Centered IT Family Families 126