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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - from a complicated case to a complex one; the endoscopy with dilation did not improve the patient’s symptoms … and she was admitted to the hospital for ongoing symptoms (nausea and vomiting) attributed to an apparently … These symptoms persisted and she was again managed supportively – by being placed on TPN – and she was … anatomic, postoperative complications alone to include other conditions that could contribute to her symptoms … As neurological symptoms become more prominent in the problem represent-ation and other aspects shift
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - 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/node/853981/psn-pdf
September 27, 2023 - The patient had been
staying with his wife in a hotel, experiencing nightmares and depressive symptoms … stressor-related, anxiety, and adjustment
disorders associated with sustained suicidal or psychotic symptoms … , or “acute on chronic” exacerbated
psychiatric symptoms associated with the suicide attempt. … It is important to recall that amnestic symptoms
and/or frank delirium due to hypoxia may be “additive … ” with the ongoing psychiatric symptoms that were
https://psnet.ahrq.gov/web-mm/elopement#:~:text=Elopement
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - In cases with severe neurologic symptoms, such as seizures or coma, the
panel recommended use of a 10 … -minute infusion of 100 ml 3% saline, repeated up to two additional times
until symptoms resolve, regardless … for severely symptomatic hyponatremic patients, followed by one
additional bolus 20 minutes later if symptoms … persist.6 Patients with milder symptoms can be managed by
administering 0.5-2.0 ml/kg/hr of 3% saline … over the first few hours, as this rate of rise in serum sodium is usually
sufficient to alleviate symptoms
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psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - During the following week, the patient’s symptoms continued, and
he received evaluations from two additional … The next week, the patient returned with persistent foot symptoms, and yet another provider noted a … not have prevented a surgical procedure, the diagnostic
errors produced repeated visits, continued symptoms … alter the clinical approach if the initial diagnostic and treatment plan fails to resolve a patient’s
symptoms
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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/web-mm/mismanagement-delirium
February 13, 2014 - 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. … Pharmacological management should be conservative and used for severe agitation or psychotic symptoms … Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia.
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - 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 … to say in retrospect that sepsis was the inappropriate diagnosis in this case
since the presenting symptoms … 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
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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/60579/psn-pdf
June 10, 2020 - 19 was detected in 3.8% of residents and 3.2% of staff; none
of the residents reported significant symptoms
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psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
April 12, 2023 - April 14, 2021
Signs and symptoms to determine if a patient presenting in primary care
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - 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/node/49434/psn-pdf
February 01, 2004 - 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 … making about cancer screening and follow-up; provide
information on cancer risks and interpretation of 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/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Diabetes in Adolescents
Both type 1 diabetes mellitus (T1DM) and T2DM present with symptoms of hyperglycemia … should begin at diagnosis for all patients
Metformin is first-line pharmacotherapy for those with mild symptoms … and no ketosis
For adolescents with more severe symptoms or uncontrolled hyperglycemia, insulin can … The Adolescent Patient
In adolescent patients, reticence, conflicting information, or symptoms without … likely than adults to recognize or acknowledge pregnancy, even when seeking care for pregnancy-related symptoms
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psnet.ahrq.gov/web-mm/rapid-mis-strep
February 01, 2004 - pharyngitis is frequently difficult, in part because patients don't always present with classic signs and symptoms … .( 4,5 ) Moreover, presenting symptoms vary with the age of the patient.( 4 ) For example, this 5-year-old … A positive RADT should result in antibiotic therapy for patients with consistent signs and symptoms. … The physician appropriately advised the parent to return if the child's symptoms worsened. … Take-Home Points
Because of variable symptoms and microbiologic factors, the diagnosis and appropriate
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - patient was started on steroid and cyclophosphamide therapy and discharged after
improvement in his symptoms … Over the next month, the patient continued to feel well without a recurrence of his symptoms; however … Accompanying neurological symptoms,
including word-finding difficulties as reported here, are generally … Vasculitis was a parsimonious explanation for all of the patient's recent
symptoms, so it was reasonable … of rare
symptoms/diseases
Streamline triage to
diagnostic experts
Using Internet search
engines
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - from a complicated
case to a complex one; the endoscopy with dilation did not improve the patient’s symptoms … and she was
admitted to the hospital for ongoing symptoms (nausea and vomiting) attributed to an apparently … , but now also developed difficulty with ambulation, altered
mental status, and other neurological symptoms … These symptoms persisted and she was again managed
supportively – by being placed on TPN – and she was … As neurological symptoms become more prominent in the problem representation and other aspects shift
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - patient was started on steroid and cyclophosphamide therapy and discharged after improvement in his symptoms … Over the next month, the patient continued to feel well without a recurrence of his symptoms; however … Accompanying neurological symptoms, including word-finding difficulties as reported here, are generally … (e.g., hearing their eyes move) or unusual constellations of symptoms Lack of specialized knowledge … of rare symptoms/diseases Streamline triage to diagnostic experts Using Internet search engines
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - It would be helpful to know whether she was already experiencing psychotic symptoms prior to admission … A recent onset of psychosis without organic symptoms would be much less worrisome. … Had psychotic symptoms alone been present during the evaluation or right after admission, it would have … The rapid improvement suggests that the psychotic symptoms were not related to underlying schizophrenia … Extrapyramidal symptoms due to dopamine-blocking agents in patients with AIDS encephalopathy.
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psnet.ahrq.gov/node/866310/psn-pdf
July 17, 2024 - A symptom-checker for adult patients visiting an
interdisciplinary emergency care center and the safety of
patient self-triage: real-life prospective evaluation.
July 17, 2024
Meer A, Rahm P, Schwendinger M, et al. A symptom-checker for adult patients visiting an interdisciplinary
emergency care center and the saf…