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psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question
September 02, 2020 - Many COVID-19 patients present with respiratory symptoms, but others may present with atypical symptoms
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psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
January 12, 2022 - Veterans Affairs, this qualitative study explored the clinical diagnosis and management of long COVID symptoms … Two themes emerged – (1) diagnostic uncertainty about whether symptoms were due to long COVID, particularly
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psnet.ahrq.gov/periodic-issue/periodic-issue-388
April 26, 2023 - populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms … populations presenting to the emergency department with cardiovascular or cerebrovascular/neurological symptoms … Black patients presenting with cardiovascular symptoms had significantly higher odds of diagnostic error … factors did not show similar associations, nor did studies of patients with cerebrovascular/neurological symptoms … Black patients presenting with cardiovascular symptoms had significantly higher odds of diagnostic error
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - urgent care over a 2-month period, the patient presented to the emergency department with worsening symptoms … particularly strong in this case, where the patient presented 6 times over 2 months with worsening symptoms … This natural human bias may explain why patients persist in the belief that their arthritis symptoms … the probability of peripheral neuropathy was not adjusted downwards, despite progressive unilateral symptoms … unusual or complex diagnostic challenges, and when patients return with unexplained or progressive symptoms
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - All three studies were interpreted as normal, and
the patient was reassured that her symptoms should … This condition is
classified by the time to onset of symptoms (acute vs chronic), the affected portion … and/or hypoperfusion, as this would increase
clinical suspicion for this disorder.8 Accompanying symptoms … (“intestinal
angina”) and often develop “food fear” with an associated significant weight loss.8 Symptoms … patient underwent an upper GI series, EGD,
and colonoscopy that did not elucidate the cause of her symptoms
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - Once she had apparent improvement in her symptoms
following intravenous hydration, she was discharged … But when the presenting
symptoms are outside of a normal constipation symptom complex, there needs to … For symptoms more severe than expected for constipation, concern must be raised
for stercoral colitis … Other than her presenting symptoms, the patient’s laboratory work demonstrated significant bandemia, … Take-Home Points
Non-specific symptoms such as weakness, weight loss, and anorexia may be warning signs
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - was started on intravenous fluids and broad spectrum antibiotics with some initial improvement in his symptoms … https://www.ncbi.nlm.nih.gov/pubmed/28528569
10
Challenges in Sepsis Diagnosis
Clinical signs and symptoms … . https://www.ncbi.nlm.nih.gov/pubmed/29804795
18
This Case
The patient presented with nonspecific symptoms … were not classic for infection
However, 40% of septic patients present with vague symptoms
In addition … Presenting symptoms independently predict mortality in septic shock: importance of a previously unmeasured
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Thirty hours later, the patient returned to the ED with continued symptoms and new abdominal cramps. … Nausea and vomiting are common symptoms of acetaminophen overdose, but the nonspecific nature of these … symptoms and their common occurrence in pregnancy can delay diagnosis. … Other symptoms include metabolic acidosis, coagulopathy, acute renal failure, pancreatitis, and coma. … Some patients may have no symptoms prior to the onset of acute liver failure.
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - As her symptoms
worsened, she contemplated returning to the emergency department (ED). … The nurse
asked a standard list of questions and learned about the worsening symptoms. … With the change in
antibiotics, the patient felt much better with improving symptoms. … The
patient developed worsening symptoms after discharge and was unable to reach her PCP. … Frequency of new or worsening symptoms in the
posthospitalization period.
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psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
May 12, 2021 - populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - However, some signs and symptoms associated with vertigo can point more specifically to the inner ear … This patient did not present with any signs or symptoms that definitively implicated the brain as the … However, several symptoms and signs, though not pathognomonic for a central cause, are so highly suggestive … Rather, a peripheral localization is a diagnosis of exclusion when there are no symptoms, signs, laboratory … Rather, a peripheral localization is a diagnosis of exclusion when there are no symptoms, signs, laboratory
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psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
September 21, 2022 - A survey of 364 nurses found that somatic symptoms (e.g., headache, exhaustion, fatigue) had a positive … correlation with nursing errors, but other symptoms of burnout – such as anxiety or depression – did
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psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
July 07, 2021 - Obstetrics & Gynecology at one large academic hospital found that three-quarters of providers experienced symptoms … anxiety were more likely to be interested in peer-to-peer support programs, whereas those reporting symptoms
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psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer-presenting-ambulatory
September 14, 2022 - used electronic health records and natural language processing (NLP) to identify relevant signs and symptoms … Researchers found that NLP can identify signs and symptoms associated with lung cancer over a year prior
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - burnout-primary
A recent survey suggested that more than half of physicians in the United States have symptoms … Workflow interventions and targeted quality improvement projects led
to fewer reported burnout and stress symptoms
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psnet.ahrq.gov/print/pdf/node/842920
December 14, 2022 - The
symptoms were abrupt in onset, lasted between 5 to 15 minutes and then subsided after sitting down … nocturnal urination, and
difficulty initiating a stream, a man had been reluctant to seek care for his symptoms … The
symptoms were abrupt in onset, lasted between 5 to 15 minutes and then subsided after sitting down … nocturnal urination, and
difficulty initiating a stream, a man had been reluctant to seek care for his symptoms
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - had no chest pain whatsoever and repeatedly emphasized that he had been completely free of cardiac symptoms … His use of medical terms when describing the illness, and his interpretation of his own symptoms can … Even when physicians do seek help, they may describe their symptoms in medical terms that apply only … Checklist for Physicians Feeling Ill
Am I uncertain about what my symptoms might represent? … Do I explain away my symptoms?
Do I need medical tests or examinations?
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psnet.ahrq.gov/print/pdf/node/866782
August 28, 2024 - Despite visiting an outpatient clinic and emergency
department (ED) for ongoing symptoms and... … Shaikh, MD, MPH | March 27, 2024
A five-year-old girl presented to the emergency department (ED) with symptoms … Despite visiting an outpatient clinic and emergency
department (ED) for ongoing symptoms and... … Shaikh, MD, MPH | March 27, 2024
A five-year-old girl presented to the emergency department (ED) with symptoms
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psnet.ahrq.gov/curated-library/sepsis-awareness-month-2024
May 31, 2023 - A five-year-old girl presented to the emergency department (ED) with symptoms … Copy URL
A five-year-old girl presented to the emergency department (ED) with symptoms … The patient returned the next day with worsening symptoms but the treating physician again did not order
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psnet.ahrq.gov/node/848814/psn-pdf
May 10, 2023 - diagnostic-errors-emergency-department-systematic-review
https://psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms