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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

A thoughtful H&P can avoid unnecessary tests that in turn produce false positive results that then demand further evaluation. Old-fashioned doctors routinely seek all of the patient's previous medical records, not just the discharge summaries. Diagnostic reasoning is (at least partially) deductive reasoning.

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Doctor’s Failure to Follow Up on Medical Test Leads to Large Settlement

Pulmonology Advisor - Practice Management

Ordering diagnostic tests is a standard procedure for physicians; yet if the test results aren’t reviewed and acted upon, what was the point of ordering the test? Case Facts Mr W, the patient, was a veteran who had been honorably discharged after serving 9 years in the Army, working as a mechanic.

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A Very Tepid Defense of the Physical Exam

Sensible Medicine

or I am sure a CT (MR, Echo, PET, insert test here) could do a whole lot better. He discharges the patient with instructions to follow up if necessary. The tests were negative, and the omeprazole had no effect. The exam tests a diagnostic hypothesis. However, I am usually left thinking: Who needs to know that?

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SWAT RNs: Supporting Bedside Leaders with Clinical Judgment

Minority Nurse

Further diagnostic tests reveal that the mass is a malignant neoplasm. Mr. Salzo’s diagnostic presentation appeared typical for asthma. Alert and anxious, use of accessory muscles of respiration, respiratory distress RR- 32 breaths per minute and labored, BP- 143/88 mm Hg, T- 100.3 and HgB- 7.2

Triage 105
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Distinguishing HCAHPS From the Overall Customer Experience

Guideway Care

It includes 29 questions covering various aspects of healthcare, such as communication with nurses and doctors, hospital environment, pain management, and discharge information. Also, factors such as pre-hospitalization experiences, post-discharge follow-up, and outpatient care are not included in the HCAHPS survey.

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Health@Retail Update: Kroger and Hy-Vee Morph Grocery into Health, Walmart’s Health Center, CVS/housing and More

Health Populi

Dieticians also test for various metrics via a blood sample from a finger prick, checking cholesterol and glucose, along with blood pressure and BMI. In addition to providing over-the-counter meds and other products, the in-hospital shop will deliver patients’ orders to the bedside before they are discharged home.

Hospital 103
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Advice for Internship: Part II

Sensible Medicine

Whatever else goes on in the hospital, this is a problem that needs to be addressed, if not solved, prior to discharge. For any test you order, what is the diagnostic hypothesis you are testing? Ask yourself, “what is the pre-test probability of the disease I am testing for?”

Tests 52