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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., lab tests, imaging, and/or pathology). shortness of breath is present in heart failure and pneumonia). Differentiating feature: a feature shared among other similar conditions but not present in many diseases.

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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Deprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy

GeriPal

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Alex: No, I think we did one other super special. Alex: So this is Super special 2. Another in JAG.

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It’s My Party and I’ll Cry if I Want to: A Bittersweet Happy 30th Birthday to LDTs

FDA Law Blog

Mullen — Happy Birthday Laboratory Developed Tests (LDTs). Of course, FDA’s August 3, 1992 statement that it could regulate LDTs came long after laboratories began offering diagnostic tests. It came 16 years after Congress passed the Medical Device Amendments of 1976, without saying a word about FDA authority over laboratory testing.

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. Mazie: Thank you so much.

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

GeriPal

And my wife went to over, I want to say, 20 concerts. Eric 00:58 Have you been to a concert? Nate 00:59 I went one in Milwaukee, Wisconsin, and I’m so glad I did. I loved it and this was his favorite song and so I wanted to do it. Alex 01:07 And Bruce Springsteen did a stage dive. We were talking about this before. Nate 01:11 Very healthy man.

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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.