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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

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. Welcome, Ariel. Ariel: Thanks. Ariel: Yes.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. 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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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

I just had lab tests done. I didn’t know which lab test got my lab tests looked on there. All of a sudden, as a 49 year old, I see I have a PSA on my lab test. So for primary care providers, you order that blood test, you own that. And a primary care provider has 18 minutes.

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

GeriPal

But I mean, I would also add that not all of the responses to the PGA, and to the provider part that is completed, are coming from the patient. Like getting a donor, doing all the different tests, making sure there’s not going be an interaction. William: Not the future, but the present. Mazie: Oh, for sure.

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What can we learn from simulations? Amber Barnato

GeriPal

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging.

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Podcast Episode: Febrile Seizures

PEMBlog

Do All Children Who Present With a Complex Febrile Seizure Need a Lumbar Puncture? Admittedly, 25 percent of children with meningitis will have seizures at or before the initial presentation, but almost all of these kids will also have other signs and symptoms of meningitis, like altered consciousness, nuclear rigidity, a petechial rash.

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