Session Type
Meeting
Search Results for Diagnosis
Plenary Presentations
Abstract Number: PL3
SHM Converge 2022
Background: Diagnostic errors (DE), defined as missed opportunities to make a correct or timely diagnosis based on the available evidence, are a critical but understudied cause of patient harm. While previous efforts have focused on examining the incidence and factors contributing to DEs in ambulatory and emergency room settings, fewer studies have examined incidence of […]
Abstract Number: 11
SHM Converge 2021
Background: “Time is brain” is a trope from the neurologist Camilo Gomez that emphasizes the importance of early treatment to improve the neurological prognosis of ischemic stroke patients. Given the short therapeutic window of evidence-based therapies such as thrombolysis and endovascular treatment, it is important to diagnose ischemic stroke from the numerous possible diagnoses accurately […]
Abstract Number: 25
SHM Converge 2023
Case Presentation: A 31-year-old man with past medical history of secondary syphilis and HIV/AIDS (CD4 47) intermittently on ART presented with worsening rectal pain and recurrent rectal abscesses. He endorsed rectal pruritis, nausea, weight loss, and lower extremity pain. He denied fevers, night sweats, abdominal pain, or diarrhea. Last year, he had a prior rectal […]
Abstract Number: 50
SHM Converge 2024
Case Presentation: A 17 y.o. female with systemic lupus erythematosus (SLE) presented with several weeks of worsening migratory polyarthralgia, as well as sporadic fevers, night sweats, and chills. Prednisone was begun 3 weeks prior for a presumed SLE flare, given elevated anti double-stranded DNA (anti-dsDNA) and erythrocyte sedimentation rate (ESR) and hematuria, but provided no […]
Abstract Number: 66
SHM Converge 2024
Background: Diagnostic consultations between the General Internal Medicine (GIM) departments and specialty departments are becoming increasingly important to achieve team-based diagnosis and diagnostic excellence, but there have been limited studies on the appropriateness of the GIM diagnostic consultations with specialty departments. We conducted this study to clarify the appropriateness of diagnostic consultations from the GIM […]
Abstract Number: 93
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 among hospitalists; and (b) identify factors associated with diagnostic accuracy. Methods: A total of 10 hospital medicine attending physicians from […]
Abstract Number: 98
Hospital Medicine 2016, March 6-9, San Diego, Calif.
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 been placed recently on the ideal objective criteria to accurately identify sepsis, little is known about the agreement among providers […]
Abstract Number: P8
SHM Converge 2022
Background: Previous studies have identified racial differences in sepsis incidence and sepsis mortality. Some evidence points towards differential treatment and subsequent sepsis outcomes in Black versus White patients. However, it is unclear to what extent racial differences exist in presentation and subsequent interpretation of complaints in the early phase of sepsis. Using History and Physical […]
Abstract Number: 100
Hospital Medicine 2016, March 6-9, San Diego, Calif.
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 of sterile inflammation, leading to overtreatment in the form of invasive procedures and lengthy antibiotic regimens. Ferumoxytol is an iron […]
Abstract Number: 108
SHM Converge 2023
Background: Adequate documentation of patient diagnoses is essential for hospitals to capture the extent of services provided, to submit bills, and ultimately receive payment. These diagnoses are used to calculate hospital performance as part of the Hospital Readmission Reduction Program. Diagnoses taken from medical record documentation are also used to place patients in diagnosis-related groups […]