Articles Tagged With: Diagnostics
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Pulmonary Embolism Response Teams in the Emergency Setting
Emergency clinicians are adept at diagnosing and treating pulmonary embolisms. In cases deemed intermediate- or high-risk, determining which treatment is best is not always clear. Innovators at Massachusetts General Hospital developed the first pulmonary embolism response team, which has since been adopted widely.
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Confusing Presentation Could Result in Successful Missed Sepsis Claims
Despite recent emphasis on early sepsis intervention, little is known on exactly what symptoms these patients experience when presenting to EDs — and how frequently. This knowledge is important for educating the public about what symptoms may portend a diagnosis of sepsis, as well as educating clinicians about what symptom profiles they should be aware of when it comes to diagnosing sepsis.
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COVID-19 Long-Haulers May Show Signs of Chronic Fatigue, Myalgic Encephalitis
Many patients with COVID-19 will go on to develop persisting symptoms that resemble those of myalgic encephalitis/chronic fatigue syndrome, regardless of symptoms experienced at viral onset.
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Shortness of Breath in Older Adults Is Challenging Diagnosis in ED
Older adults might present with atypical symptoms, such as “just not feeling right.” Some experience a decreased sensation of dyspnea itself, so they do not even report feeling short of breath. Older patients also may present with various comorbid conditions that are causing shortness of breath, such as congestive heart failure or COPD. This can lead to misdiagnosis.
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Acute Myocardial Infarction, or Related to COVID-19?
The ECG in the figure was obtained from a man in his 30s. How would one interpret this tracing if told the patient’s only symptom was recent shortness of breath on exertion that he had not experienced?
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Infectious Disease Alert Updates
Outcome of Coccidioidomycosis in the Pre-Antifungal Era; PET Imaging for Fever of Unknown Origin; High Rates of Thromboembolism in COVID-19
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Misdiagnosis Top Allegation in Aortic Dissection Malpractice Claims
Failure to timely diagnose, failure to order diagnostic tests, and failure to interpret diagnostic tests were the most frequent allegations in malpractice claims involving aortic dissection, according to an analysis of claims filed between 1994 and 2019.
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Knowing More About Super-Users Prevents Unnecessary ED Visits
Frequent ED visitors account for 10% to 26% of all ED visits, and are responsible for a growing proportion of healthcare expenditures. The risk of ED super-use is more likely for older patients and those in poorer health. The most common diagnoses were low back pain, nausea and vomiting, chest pain, headache and migraine, urinary tract infection, and abdominal pain.
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ED Nurses Also Face Liability for Misdiagnosis
The idea that it is not within the nurses’ scope of practice to contribute to diagnosis is both dangerous and wrong.
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Virtual Visits and Antibiotic Prescribing
Compared to in-person visits, virtual visits were associated with improved antibiotic prescribing practices for women with uncomplicated urinary tract infections.