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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - • Since the patient’s symptoms were not improving spontaneously and the treating
team was suspicious … – AAI may mimic a posterior circulation stroke, presenting with symptoms such as slurred
speech, … gait disturbances, and nystagmus, much like the symptoms seen in this case.5
– Chronic alcohol use may … of hemorrhage, a conservative clinician might still
administer thrombolysis if the “stroke mimic” symptoms … Isolated sensory symptoms without weakness (S)
• The higher the score, the more likely a “stroke mimic
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - • Since the patient’s symptoms were not improving spontaneously and the treating
team was suspicious … – AAI may mimic a posterior circulation stroke, presenting with symptoms such as slurred
speech, … gait disturbances, and nystagmus, much like the symptoms seen in this case.5
– Chronic alcohol use may … of hemorrhage, a conservative clinician might still
administer thrombolysis if the “stroke mimic” symptoms … Isolated sensory symptoms without weakness (S)
• The higher the score, the more likely a “stroke mimic
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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/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/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/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/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/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/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/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/46739/psn-pdf
January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error
(SPADE): a conceptual framework and methodological
approach for unearthing misdiagnosis-related harms
using big data.
January 24, 2019
Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a
conceptual framework and methodologica…
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psnet.ahrq.gov/node/50619/psn-pdf
October 30, 2019 - This campaign raises awareness of the
symptoms of sepsis to engage patients in timely diagnosis and
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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
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psnet.ahrq.gov/issue/emergency-diagnosis-cancer-and-previous-general-practice-consultations-insights-linked
February 17, 2021 - emergency department with cancer found that the majority had seen a primary care provider with relevant symptoms
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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/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
July 21, 2021 - Commentary
Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity.
Citation Text:
Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using symp…
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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/periodic-issue/periodic-issue-452
August 28, 2024 - For example, men presenting with "classic" symptoms of heart attack are more frequently targeted for … evaluation than women with "atypical" symptoms, thereby resulting in underdiagnoses of heart attack in … For example, men presenting with "classic" symptoms of heart attack are more frequently targeted for … evaluation than women with "atypical" symptoms, thereby resulting in underdiagnoses of heart attack in … Despite reporting symptoms such as warmth, redness, and pain in her wrist shortly after surgery, her
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psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - opportunities most frequently occur in children who present to the emergency department with undifferentiated symptoms
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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