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Friday Reflection 44: Diagnostic Enigma

Sensible Medicine

I feel most like I am “among my people” discussing diagnostic dilemmas with my team post call. What makes a diagnostic dilemma? Diagnostic dilemmas are those which occupy the other three squares of a 2X2 table. 2 Common puzzles test diagnostic reasoning. These unsolved chronic problems are never easy.

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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

Old-fashioned doctors spend whatever time it takes to obtain a good medical history and physical examination. The history and physical exam is not something to be fetishized but something to be recognized as a time saver. An exam finding does, on occasion, make you feel more comfortable with your diagnosis.

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Telehealth Analysis: The Pros & Cons

We Care Online

While video calls allow for visual assessments, certain aspects of a physical exam—such as checking vital signs, palpating areas of pain, or listening to a patient’s heart and lungs—cannot be replicated remotely. This limitation means that telehealth may not be suitable for all medical concerns.

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What Are SOAP Notes and How Do You Write Them?

Valant

Objective : Vital signs, results of physical exams, completion of inventories/instruments, and other actual observations such as the patient’s mood, behavior, appearance, and statements, when pertinent to treatment. Note Items of a particularly private nature may be reserved for private therapy notes (not progress notes).

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Healthcare Costs Inspire Employer Activism and Employee Dissatisfaction – What PwC Found Behind the Numbers

Health Populi

At worksite clinics, 43% of employers offer physical exams and urgent care, 36% do annual preventive exams, and 11% offer chronic care management. One of employers’ key challenges in moderating healthcare costs is the burden of chronic disease among workers.

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What to Expect After Medical School

Accepted Blog

Through patient case scenarios, the exam tests your ability to formulate a diagnosis based on a patient’s history, their physical exam, and the associated lab findings. Through a combination of CME, board recertification, and special training in new diagnostic and treatment options, there are myriad options to stay up-to-date.

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Intern Year: A Resident’s Reflections and Advice

Sensible Medicine

More importantly, log your diagnostic oversights, atypical patient presentations, or any other learning points for posterity. Sometimes, this can be demonstrated by something as simple as a thorough physical exam. This is poor form and unfair when it happens. Journal Log interesting patient cases.