Diagnosis

/Tag:Diagnosis

ACCURACY OF LUNG ULTRASOUND VERSUS CHEST X-RAY IN THE DIAGNOSIS OF PULMONARY EDEMA: A SYSTEMATIC REVIEW

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence [...]

By | 2018-03-19T12:59:20+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on ACCURACY OF LUNG ULTRASOUND VERSUS CHEST X-RAY IN THE DIAGNOSIS OF PULMONARY EDEMA: A SYSTEMATIC REVIEW

AIR BUBBLES IN THE HEART: INTRACADIAC AIR DUE TO BOWEL NECROSIS

Case Presentation: A 78-year-old woman with amyotrophic lateral sclerosis presented with abdominal fullness. She had undergone tracheal tube intubation, mechanical ventilation and percutaneous gastrostomy 4 years previously because of difficulty in respiration and ingestion. Upon [...]

By | 2019-03-11T14:34:16+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on AIR BUBBLES IN THE HEART: INTRACADIAC AIR DUE TO BOWEL NECROSIS

BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, [...]

By | 2018-03-19T12:55:17+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

CARDIAC AMYLOIDOSIS MISTAKEN FOR ANGIOEDEMA: A DELAY TO DIAGNOSIS

Case Presentation: A 57 year old man with a history of heart failure with preserved ejection fraction (HFpEF), chronic kidney disease (CKD) and hypertension presented with two weeks of exertional dyspnea and lower extremity edema, [...]

By | 2018-03-22T15:50:13+00:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Posters, Uncategorized|Comments Off on CARDIAC AMYLOIDOSIS MISTAKEN FOR ANGIOEDEMA: A DELAY TO DIAGNOSIS

Detecting Sepsis: Are Two Opinions Better Than One?

Background: Early diagnosis and treatment of sepsis improves patient outcomes. Diagnosis requires an objective component (currently at least two Systemic Inflammatory Response Criteria, SIRS) and a subjective, clinical suspicion of infection.  While much attention has [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on Detecting Sepsis: Are Two Opinions Better Than One?

Ferumoxytol Enhancement of Osteomyelitis on Mri May Improve Diagnostic Precision

Background: Diagnostic MR imaging of osteomyelitis in the hospital setting continues to guide patient care and treatment when plain films are inconclusive. However, even MRI with gadolinium can be non-specific in patients with other forms [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Ferumoxytol Enhancement of Osteomyelitis on Mri May Improve Diagnostic Precision

Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

PREVALENCE, TREATMENT, AND OUTCOMES ASSOCIATED WITH HEART FAILURE AMONG PATIENTS HOSPITALIZED WITH PNEUMONIA

Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. [...]

By | 2019-03-11T14:26:51+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on PREVALENCE, TREATMENT, AND OUTCOMES ASSOCIATED WITH HEART FAILURE AMONG PATIENTS HOSPITALIZED WITH PNEUMONIA

RECURRENT PANCREATICOLITHIASIS IN A YOUNG PATIENT WITH IDIOPATHIC CHRONIC CALCIFIC PANCREATITITS

Case Presentation: This is a 35-year old Indian female, living in the United States for the past several years, presented with chronic mid-epigastric and left upper quadrant pain radiating to the back, nausea, and bilious [...]

By | 2019-03-11T14:37:49+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on RECURRENT PANCREATICOLITHIASIS IN A YOUNG PATIENT WITH IDIOPATHIC CHRONIC CALCIFIC PANCREATITITS

The Uncertainty of Observation: Diagnosis Specification from Presentation to Discharge

Background: The observation unit is frequently a destination for patients with yet undifferentiated conditions.  The goal of the observation stay is to complete a crucial diagnostic test or treatment trial that should help specify the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on The Uncertainty of Observation: Diagnosis Specification from Presentation to Discharge

UNDERSTANDING DIAGNOSTIC REASONING USING A CASE-BASED APPROACH

Background: While understanding the cognitive contributions to diagnosis has become important, few studies have aimed to understand physician diagnostic reasoning in real-time. Using a case-based approach, we sought to: (a) characterize differences in diagnostic reasoning [...]

By | 2018-03-19T13:04:28+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on UNDERSTANDING DIAGNOSTIC REASONING USING A CASE-BASED APPROACH

USING LUNG ULTRASOUND OBTAINED BY AN INTERNIST TO ASSESS LEFT ATRIAL PRESSURE IN HOSPITALIZED PATIENTS

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion [...]

By | 2018-03-19T12:54:11+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on USING LUNG ULTRASOUND OBTAINED BY AN INTERNIST TO ASSESS LEFT ATRIAL PRESSURE IN HOSPITALIZED PATIENTS