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Search Results for Clinical Reasoning
Abstract Number: D43
MASS EFFECT: THE ROLE OF COGNITIVE BIAS IN A ‘NEAR-MISS’ DIAGNOSIS
SHM Converge 2022
Case Presentation: A 68 year-old Spanish-speaking female with PMH of type 2 diabetes mellitus, GERD, and tobacco use presented to the Emergency Department (ED) with one day of acute-onset substernal chest pain associated with nausea/vomiting and bilateral arm numbness L>R. Initial workup revealed CXR with mass-like opacity in the right upper lobe, high sensitivity troponin […]
Abstract Number: G27
DIAGNOSTIC ERROR IN A PATIENT WITH LIFE-THREATENING ANEMIA AND SEVERE GASTROINTESTINAL HEMORRHAGE
SHM Converge 2022
Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]
Abstract Number: H18
INCREASING FEEDBACK ON RESIDENTS’ CLINICAL REASONING DOCUMENTATION USING MACHINE LEARNING
SHM Converge 2022
Background: Residents receive little feedback on their clinical reasoning (CR) documentation due to time constraints of supervisors and lack of a shared mental model. We developed an innovative workplace-based assessment tool using machine learning (ML) to provide feedback on CR documentation. Here, we describe the impact of feedback using this assessment tool. Methods: In earlier […]
Abstract Number: I39
MAINTAINING THE DIFFERENTIAL DIAGNOSES: CARDIOPULMONARY COMPROMISE IN THE PREOPERATIVE ASSESSMENT
SHM Converge 2022
Case Presentation: A 67-year-old man with tobacco use disorder, class I obesity, OSA, and recurrent basal cell carcinoma (BCC) of the external auditory canal presented to his preoperative appointment prior to planned surgical removal of his BCC with partial temporal bone resection, parotidectomy, and reconstruction. At the time, he endorsed subacute progressive dyspnea, dry cough, […]
Abstract Number: O46
“LEAVE NO STONE UNTURNED” – AN INSIDIOUS CASE OF OCCULT BACTEREMIA
SHM Converge 2022
Case Presentation: A 70-year-old man with history of diffuse large B-cell lymphoma (status-post 2 cycles of CHOP chemotherapy), COPD, stage 3 chronic kidney disease, and diabetes mellitus presented with generalized weakness and diarrhea. His symptoms began three days prior with head pain, chills, and weakness. He then developed increasing diarrhea from his baseline of one […]
Abstract Number: P42
MISSED DIAGNOSIS OF SYSTEMIC SARCOIDOSIS CAUSING SEVERE PANCYTOPENIA AND MACROPHAGE ACTIVATION SYNDROME DURING PROLONGED HOSPITALIZATION
SHM Converge 2022
Case Presentation: A 59 year old woman with presumed systemic lupus erythematosus (SLE) was admitted to hospital medicine for severe pancytopenia (WBC 1.3 x109/L, hemoglobin 9.2g/dL, platelet 14×109/L). She had an extensive diagnostic work-up with rheumatology and hematology without a definitive diagnosis; rheumatology questioned her prior SLE diagnosis. Imaging showed diffuse lymphadenopathy and splenomegaly. Three […]
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  • A CASE OF SKIN NECROSIS CAUSED BY INTRAVENOUS XYLAZINE ABUSE
  • BLOWING SMOKE: VAPING-ASSOCIATED LUNG INJURY PRESENTING AS ABDOMINAL PAIN
  • Cannabis Withdrawal Induced Hypertensive Urgency
  • A Patient’s Presentation of Persistent Sweet Taste in Her Mouth Leads to a Diagnosis of Small Cell Lung Cancer
  • ADDERALL INDUCED ISCHEMIC COLITIS
  • This Month

  • A CASE OF SKIN NECROSIS CAUSED BY INTRAVENOUS XYLAZINE ABUSE
  • BLOWING SMOKE: VAPING-ASSOCIATED LUNG INJURY PRESENTING AS ABDOMINAL PAIN
  • A Patient’s Presentation of Persistent Sweet Taste in Her Mouth Leads to a Diagnosis of Small Cell Lung Cancer
  • Cannabis Withdrawal Induced Hypertensive Urgency
  • ADDERALL INDUCED ISCHEMIC COLITIS
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  • PECULIAR PRESENTATION OF VERTIGO IN HYPOTHYROIDISM
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  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • RECOGNIZING S1Q3T3 FOR WHAT IT IS: A NONSPECIFIC PATTERN OF RIGHT HEART STRAIN
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
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