-
psnet.ahrq.gov/node/48025/psn-pdf
June 19, 2019 - Accuracy of a popular online symptom checker for
ophthalmic diagnoses.
June 19, 2019
Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic
Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571.
https://psnet.ahrq.gov/issue/accuracy-popular-on…
-
psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - 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 … bias might
lead the clinician to ask about tingling or burning in the same foot, even though such 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
-
psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - At this first entry
point, many clinicians miss child abuse and incorrectly attribute symptoms to an … In fact, patients often present with non-
specific symptoms such as vomiting, abnormal movements, changes … These symptoms are often attributed to more common problems such as viral URI or
acute gastroenteritis … this reason, infants younger than 90 days
presenting with lethargy and other non-specific neurologic symptoms … Diagnosing AHT poses unique challenges due to non-specific symptoms, delayed presentations, and
difficulty
-
psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - blood pressure, osteoporosis, and pulmonary embolus, was admitted to a hospital with gastrointestinal symptoms … inflammatory bowel diseases and atopic conditions. 6 Inflammatory bowel diseases can present with similar symptoms … and eosinophilic gastroenteritis, but these conditions usually present with upper gastrointestinal symptoms … critical to identify who is at risk for this infection, especially when combined with unexplained GI symptoms … June 1, 2003
WebM&M Cases
When "Psychiatric" Symptoms
-
psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - She had seen her primary care physician a few weeks earlier for the same symptoms and, after a normal … However, given the worsening symptoms and persistent headache, the provider ordered an urgent magnetic … results of your recent MRI were normal, making an infection, mass, or stroke unlikely causes of your symptoms … In the ED, neurology was consulted and concluded that the patient's symptoms were likely benign positional … vertigo (a common condition that leads to intermittent dizziness) with amplification of her symptoms
-
psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - IO lines
Appreciate the importance of anticipating procedural complications
Identify signs and symptoms … While Orthopedic Surgery was consulted for further management of compartment syndrome, the symptoms resolved … Compartment syndrome is a clinical diagnosis and patients’ reported symptoms are the earliest indicators … In an awake and alert patient, reported symptoms include pain (often characterized as out of proportion … Of the six signs and symptoms, only pain is a reliable sign of compartment syndrome.
-
psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms
-
psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - cancer presented to an emergency department (ED) 36 hours after his last alcoholic drink with signs and symptoms … patient’s Clinical Institute Withdrawal Assessment (CIWA) score was very high, indicating signs and symptoms … The ten alcohol withdrawal symptoms of CIWA-Ar and range of scoring scale. … However, this end point should be interpreted with caution. 8 Dexmedetomidine attenuates the hemodynamic symptoms … They can mask the elevated adrenergic state seen in AWS and cause a false perception that these symptoms
-
psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - When health care workers provide care while experiencing symptoms of infectious disease,
they put their … surveyed, 50%–90% of them report that they have
worked or would work while experiencing significant symptoms … the past year, 55%
said that they would come to work with the acute onset of significant respiratory symptoms … Health care workers also report that there is some ambiguity about what
symptoms truly justify sick … clear what is
"too sick" to work or truly risky for patients.(6) The lack of knowledge about what symptoms
-
psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - 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
-
psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - aneurysms and those in the anterior circulation.3
Because non-ruptured brain aneurysms produce no symptoms … Because the brain is enclosed within the rigid skull, large-volume hemorrhages
produce more severe symptoms … pulmonary edema, hypertension, hyperglycemia and delayed cerebral ischemia.6,7,8,9,10
Management of these symptoms
-
psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Prior to that date, there was no effective pharmacotherapy to quell the symptoms associated with these … However, the emergence of delayed-onset choreiform movements (tardive dyskinesia) raised alarm, as these symptoms … These agents showed equivalent efficacy to the older agents in treating the psychotic symptoms of schizophrenia … nearly 5%.( 9 ) When combined with the additional risk factors of prior suicide attempts, depressive symptoms … presumably related to dopaminergic sensitivity, are also described.( 12 ) Additional discontinuation symptoms
-
psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 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 associated with the suicide attempt and that the patient
-
psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - 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 … L over the first few hours, as this rate of rise in serum sodium is usually sufficient to alleviate symptoms
-
psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - He returned to the hospital six days later when his symptoms did not improve. … team did not recognize preoperative CS despite the patient’s complaint of severe pain and neurologic symptoms … In the second case, the treating team failed to appreciate symptoms suggesting postoperative CS and instead … Diagnosis Historically, CS has been diagnosed by bedside assessment using various clinical signs and symptoms … In the second case, obvious, classic symptoms of CS were ignored, and ICP was never measured.
-
psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - had been using less heroin than usual because of the gastrointestinal complaints and felt that his symptoms … The patient's symptoms as described are consistent with classic opioid withdrawal. … Opioid withdrawal is defined diagnostically as three or more symptoms that include dysphoric (negative … The withdrawal symptoms cause significant distress to the individual and often impair functioning in … Opioid withdrawal symptoms may be so severe and aversive that many opioid-dependent individuals continue
-
psnet.ahrq.gov/node/848360/psn-pdf
May 03, 2023 - Optimizing measurement of misdiagnosis-related harms
using symptom-disease pair analysis of diagnostic error
(SPADE): comparison groups to maximize SPADE
validity.
May 3, 2023
Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using
symptom-disease pair analysis of diagnostic …
-
psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review
May 05, 2021 - Review
The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.
Citation Text:
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…
-
psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - DKA due to the normal pH on her venous blood gas (VBG), and her recent hospitalization for similar symptoms … Inadequate education about how to dose insulin on sick days and how to recognize early symptoms of DKA … Specifically, she withheld insulin when she was unable to eat and may have not been able to communicate her symptoms … in 2001), recurrent admissions related to improper education about proper insulin administration and symptoms … Educate patients, nursing staff, and physicians on risk factors for DKA and its symptoms in patients
-
psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - She had no shortness of
breath nor other new symptoms. … in patients with mild congestive heart failure (loop diuretics are
indicated in case of more severe symptoms … extremities observed in this 62-year-old woman.(6) However, the patient
did not report any other new symptoms … Her edema also worsened over the course of weeks, whereas symptoms
generally appear more suddenly when