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Showing results for "symptoms".

61. Diagnostic Errors Case Studies | PSNet
    psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    February 08, 2023 - 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

62. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/842920
    December 14, 2022 - The symptoms were abrupt in onset, lasted between 5 to 15 minutes and then subsided after sitting down … nocturnal urination, and difficulty initiating a stream, a man had been reluctant to seek care for his symptoms … The symptoms were abrupt in onset, lasted between 5 to 15 minutes and then subsided after sitting down … nocturnal urination, and difficulty initiating a stream, a man had been reluctant to seek care for his symptoms

63. Enduring Courses Catalog | PSNet
    psnet.ahrq.gov/training-catalog/enduring-courses-catalog
    Alliance Institute's catalog of CE courses related to sepsis topics, including monitoring, response to symptoms

64. Microsoft PowerPoint - Spotlight Case_Hindsight is 2020_SLIDES_FINAL.pptx (pdf file)
    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

65. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet
    psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    April 24, 2024 - Since the patient’s symptoms were not improving spontaneously and the treating team was suspicious of … female sex, minority status, and presentations with non-specific, transient, or posterior circulation symptoms … , and nystagmus, much like the symptoms seen in this case. 5 Chronic alcohol use may cause subacute … Systolic blood pressure < 150 mmHg at presentation (B) History of seizures (S) Isolated sensory symptoms … Emerging imaging technologies may be useful in patients presenting with stroke symptoms, especially in

66. A "Reflexive" Diagnosis in Primary Care | PSNet
    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

67. Lethal Vertigo | PSNet
    psnet.ahrq.gov/web-mm/lethal-vertigo
    October 24, 2012 - 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

68. Spotlight Case July 2008 (ppt file)
    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

69. Accuracy of a popular online symptom checker for ophthalmic diagnoses. | PSNet
    psnet.ahrq.gov/issue/accuracy-popular-online-symptom-checker-ophthalmic-diagnoses
    September 07, 2005 - Study Accuracy of a popular online symptom checker for ophthalmic diagnoses. Citation Text: 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. Copy Citatio…

70. Dissecting the Presentation | PSNet
    psnet.ahrq.gov/web-mm/dissecting-presentation
    July 01, 2017 - 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

71. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
    psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
    June 24, 2009 - 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 … and acute pancreatitis.( 13 ) In the case described above, the patient presented with nonspecific 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

72. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-285
    April 28, 2021 - counseling to discuss safe return to school/daycare, activity restrictions, follow-up plans expected symptoms … after discharge, when to return and seek care for symptoms, and who to contact with questions. … Two-thirds of respondents reported symptoms of burnout and only one-third reported adequate organizational … counseling to discuss safe return to school/daycare, activity restrictions, follow-up plans expected symptoms … after discharge, when to return and seek care for symptoms, and who to contact with questions.

73. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. | PSNet
    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

74. Undiagnosed Vaginal Bleeding | PSNet
    psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
    April 01, 2016 - 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.

75. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
    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

76. Doctor, Don't Treat Thyself | PSNet
    psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
    March 06, 2005 - had no chest pain whatsoever and repeatedly emphasized that he had been completely free of cardiac symptoms … His use of medical terms when describing the illness, and his interpretation of his own symptoms can … Even when physicians do seek help, they may describe their symptoms in medical terms that apply only … Checklist for Physicians Feeling Ill Am I uncertain about what my symptoms might represent? … Do I explain away my symptoms? Do I need medical tests or examinations?

77. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
    psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
    November 29, 2023 - 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

78. A Stroke of Error | PSNet
    psnet.ahrq.gov/web-mm/stroke-error
    December 01, 2015 - Disturbances of cerebral function due to hypertension typically result in diffuse symptoms that may include … Focal symptoms are less common. … Patients with transient or persistent symptoms suggestive of hemispheric, brainstem, cerebellar, or retinal … hospitalization, and after spontaneous resolution of his hypertensive emergency and initial neurologic symptoms … Rapid and timely treatment can be harder to achieve in hospitalized patients that develop stroke symptoms

79. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
    March 01, 2012 - As her symptoms worsened, she contemplated returning to the emergency department. … The nurse learned about the worsening symptoms and contacted the discharging team. … Phone Call in this Case A nurse-initiated phone call using a focused script elicited the patient’s new symptoms … appointments Problems filling prescriptions Other issues with medication management New or worsening symptoms … social worker documentation Contact case manager / social worker if necessary Questions regarding symptoms

80. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
    April 01, 2015 - She was concerned about the symptoms so presented to the hospital. … probably present on admission and the tear in the aorta had impaired blood flow leading to all of her symptoms … pubmed/21555704 * Physical Examination (2) In this case, the patient had transient neurologic symptoms … Presumably, aortic dissection of the proximal aorta involving the cerebral vessels could have caused the symptoms … not rule out aortic dissection Misdiagnosis can occur when patients present with mild illness, when symptoms