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psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study
December 02, 2020 - This prospective study followed adults presenting to primary care with new or unresolved symptoms for … November 25, 2020
Signs and symptoms to determine if a patient presenting in primary
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - Toxicity (LAST) refers to complications affecting the cardiovascular (CVS) and
central nervous (CNS) symptoms … The presentation of LAST varies but CNS symptoms are the most common and range from dizziness to
seizures … Approximately 50% of LAST cases present with isolated CNS symptoms, about 1/3 present with both CNS … and cardiovascular symptoms, and the remainder have isolated cardiovascular symptoms.6 In this case, … LAST can present with either CNS or CVS signs or symptoms, which are often non-specific.
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - She was concerned about the symptoms so presented to the hospital. … A second factor leading to misdiagnosis was clinical symptoms and laboratory findings that suggested … Aortic dissection of the proximal aorta involving the cerebral vessels could have caused the symptoms … Moreover, older patients are less likely to present with typical signs and symptoms of AAD and hence … Misdiagnosis can occur when patients present with mild illness, when symptoms are suggestive of another
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psnet.ahrq.gov/node/49467/psn-pdf
December 01, 2004 - The physician, attributing the symptoms to the new medication, instructed the patient to stop the
hydrochlorothiazide … On reviewing the patient's symptoms and confirming with the patient's regular physician that the atrial … for a call back—ie, what the patient should do if the weakness
persisted or increased, or what other symptoms
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psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology
August 03, 2017 - Posterior strokes with atypical symptoms were most frequently missed. … populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms
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psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
February 01, 2017 - in this study received an automated phone call 48 hours after hospital discharge to assess for new symptoms … One quarter of patients reached by the system indicated new symptoms, half of which required intervention
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - 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/issue/burnout-nicu-setting-and-its-relation-safety-culture
February 13, 2019 - Many health care professionals exhibit symptoms of burnout. … National studies show that approximately one-third of practicing physicians and nurses display hallmark symptoms
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psnet.ahrq.gov/node/837977/psn-pdf
August 31, 2022 - The diagnostic and triage accuracy of digital and online
symptom checker tools: a systematic review.
August 31, 2022
Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online
symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1). doi:10.1038/s41746-022-00667-w.…
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psnet.ahrq.gov/node/866200/psn-pdf
June 26, 2024 - Does an app a day keep the doctor away? AI symptom
checker applications, entrenched bias, and professional
responsibility.
June 26, 2024
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications,
entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…
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psnet.ahrq.gov/node/50576/psn-pdf
October 23, 2019 - breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-
error-among
Ischemic stroke, which often presents with non-specific symptoms
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - patients for post-procedural pneumothorax without
routine chest radiography
To understand that the symptoms … The patient recovered without
change in respiratory symptoms or vital signs in the PACU. … with family members, with
instructions to follow up “as needed,” as his vital signs and respiratory symptoms … Routine post-bronchoscopy CXRs
rarely provide actionable information for patients without acute symptoms … If imaging is
performed based on signs and symptoms, “peer network support” and other educational and
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psnet.ahrq.gov/issue/factors-associated-mental-health-outcomes-among-health-care-workers-exposed-coronavirus
March 24, 2019 - The 1,257 survey respondents reported symptoms of distress (72%), depression (50%), anxiety (45%) and … engaged directly in the diagnosis, treatment and care of patients with COVID-19 were at greater risk for symptoms
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - patients for post-
procedural pneumothorax without routine chest radiography
• To understand that the symptoms … • The patient recovered without change in respiratory symptoms or
vital signs in the PACU.
5 … with family members, with
instructions to follow up “as needed,” as his vital signs and
respiratory symptoms … • Routine post-bronchoscopy CXRs rarely provide actionable
information for patients without acute symptoms … Safety and Communication Post-Transbronchial Biopsy (8)
• If imaging is performed based on signs and symptoms
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - discontinued at that point, and the patient was treated for the CDI with eventual improvement in his symptoms … The most common symptoms leading to hospital admission include diarrhea, abdominal pain, and hematochezia … The initial evaluation and therapeutic strategy depends upon presenting symptoms, and it has two primary … Negative inflammatory markers may indicate symptoms not related to active mucosal inflammation, particularly … Patients with significant abdominal pain, obstructive symptoms, history of abscess or penetrating disease
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - Due to these symptoms, he had multiple falls and an inability to grasp simple objects. … Over the next 10 weeks, the patient returned 2 more times to the same clinic with worsening symptoms, … providers who did not order any additional diagnostic testing and treated him supportively, assuming his symptoms … flag to inquire about is bowel/bladder dysfunction (e.g., incontinence, urinary retention), as these symptoms … diagnosis and referral to a specialist are likely responsible for the patient's permanent neurologic symptoms
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - for URI
A healthy 53-year-old woman presented to her primary care physician with upper respiratory symptoms … Despite this therapy, her symptoms persisted. She was then prescribed azithromycin. … infection
Distinguishing viral from bacterial sinusitis on clinical grounds is difficult
Typical symptoms … 3 clinical criteria:
Maxillary pain or tenderness in face or teeth
Mucopurulent nasal discharge
Symptoms … for evidence of tenderness over maxillary sinuses
PCP should have asked patient about
Duration of symptoms
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psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - discontinued at that point, and the patient was treated for the CDI with
eventual improvement in his symptoms … Inflammation or fibrosis of the small bowel can also result in obstructive-type symptoms:
abdominal … The initial evaluation and therapeutic strategy depends upon presenting symptoms, and it has two primary … Negative inflammatory
markers may indicate symptoms not related to active mucosal inflammation, particularly … Patients with significant abdominal pain, obstructive symptoms, history of abscess or penetrating
disease
-
psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - and the presence of bands are abnormal and require further investigation.(8) If clinical signs and
symptoms … Given the severity and persistence
of her symptoms despite treatment, a complete abdominal ultrasound … In early pregnancy, the symptoms of appendicitis are identical to those seen in the nonpregnant state … However, the nausea and vomiting and
persistent symptoms should have led the clinicians to consider … Take-Home Points
Nausea and vomiting are common in early pregnancy, but symptoms that persist after
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - some patients with nocturnal angina do not have obstructive coronary artery disease, making their
symptoms … disease.2 The increased cardiometabolic demands during
hypoxic/apneic episodes may lead to anginal symptoms … ; these symptoms should be attributed to
obstructive atherosclerotic coronary disease until ruled out … Stress testing is the modality of choice in determining if a patient’s symptoms are likely secondary … Symptoms suggesting progressive angina require further evaluation and risk stratification,
regardless