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psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - The risk of misdiagnosis was higher if stroke symptoms were transient, nonspecific, or mild.
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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/curated-library/diagnostic-errors-case-studies
August 10, 2025 - The symptoms were abrupt in onset,... … The patient was admitted to the hospital with gastrointestinal symptoms and diagnosed with cholecystitis … Three days later, the patient returned to the same ED with similar symptoms and again was found to have … The symptoms were abrupt in onset, lasted between 5 to 15 minutes and then subsided after sitting down … She continued to experience these symptoms for two more years and her primary care physician (PCP) suggested
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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/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
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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/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/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - was started on intravenous fluids and broad spectrum antibiotics with some initial improvement in his symptoms … The clinical signs and symptoms are nonspecific, and there is no gold standard test that confirms the … However, nearly 40% of patients with sepsis present with vague symptoms.( 14 ) In addition, the patient … Identifying sepsis is challenging given that the clinical signs and symptoms are nonspecific and there … Presenting symptoms independently predict mortality in septic shock: importance of a previously unmeasured
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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
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Because of the pressure on her brain, the patient had symptoms including mood changes, headaches, and … Since the complaints were similar to the patient's symptoms on admission, which should have been addressed … care providers are frequently required to make clinical decisions based upon a change in a patient's symptoms … treatment as new, disconfirming information becomes available.( 14 ) In this case, the patient's initial symptoms … Unfortunately, the recurrence of the patient's symptoms was attributed to depression because the lumbar
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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/49760/psn-pdf
May 01, 2016 - These symptoms suggest primarily Lewy body dementia
(LBD) with additional vascular factors. … Early review of the patient's medical history and symptoms should have been conducted. … Behavioral symptoms provide insight into the experience of patients with dementia. … Effectiveness of nonpharmacological interventions for the
management of neuropsychiatric symptoms in … Meta-analysis of nonpharmacological interventions for neuropsychiatric
symptoms of dementia.
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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/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/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - Two days after the ED visit, the patient’s mother mentioned his symptoms to a physician friend. … mistaken for another and a chronic disease mistakenly considered to be the cause of a patient’s new symptoms … consciousness, a “thunderclap” onset, alteration in mental status, persistent or progressive visual symptoms … , nausea with vomiting, fever, weight loss, and others. 4 Of course, many of these symptoms may be present … in patients with benign causes of headache; proactively addressing these symptoms and asking, “Could
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - health literacy, or may face bias and discrimination within the health care system.( 2,3 ) Even when symptoms … can lead to a life view focused more on day-to-day survival than on seeking care for cancer warning symptoms … patient groups.( 20 )
Without a regular source of care, this woman was lost to the system until her symptoms … Delay versus help seeking for breast cancer symptoms: a critical review of the literature on patient … Psychosocial factors and the response to cancer symptoms. In: Yancik R, Yates JW, eds.
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psnet.ahrq.gov/issue/cluster-randomized-trial-interventions-improve-work-conditions-and-clinician-burnout-primary
January 23, 2017 - A recent survey suggested that more than half of physicians in the United States have symptoms of … Workflow interventions and targeted quality improvement projects led to fewer reported burnout and stress symptoms
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - 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 … both rural and urban primary care settings found that 10.7% of
patients presented with neurologic symptoms … flag to inquire about is
bowel/bladder dysfunction (e.g., incontinence, urinary retention), as these symptoms
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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