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Uncertainty Communication Checklist for Patient Discharge

Introduction
1. Explain to the patient that they are being discharged
2. Ask
Uncertainty Communication ... tests to patients (normal ... or abnormal) 6 ... reasons not done No/uncertain ... Checklist #Discharge #Management
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Decreased WBCs
 - Decreased/NormaI
of Anemia with Normal ... PRV, Chronic) Normal ... Polychromatic Macrocytes, Normal ... Anemias (MAHA) - Abnormal ... Hemoglobinopathy - Normal
Causes of Chronic Pediatric Cough - Differential Diagnosis Algorithm
Poor Growth
 - Non-Specific CXR
Infection - Abnormal ... • Tumor Normal ... • Asthma - Abnormal ... Congenital Anomaly - Normal
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... demonstrates: 1) Normal ... to the Left 2) Abnormal ... the Right (with abnormal ... symptoms, this abnormal
Mixing Study
 • Clotting tests can be abnormal due to either a clotting factor deficiency, or
an inhibitor of normal ... to have 50% of normal ... the test to be normal ... Plasma + Pooled Normal ... Plasma → Recheck abnormal
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... demonstrates: 1) Normal ... to the Left 2) Abnormal ... the Right (with abnormal ... symptoms, this abnormal
Our approach to the diagnosis and initial management of patients with suspected HIT. Our approach is
diagnosis and initial management ... imprecision and uncertain ... whom diagnostic uncertainty ... #Diagnosis #Management
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Apical Impulse - Abnormal ... - S3 Gallop - Normal
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm
Relative - Normal RBC Mass / Decreased Plasma Volume
Algorithm Relative - Normal ... Positive - Low/Normal ... Saturation 90%, Abnormal ... carboxyhemoglobin, Abnormal ... Heart Disease Abnormal
Causes of Congenital Anomalies - Differential Diagnosis Algorithm
Malformation
 • Embryonic development failure or inadequacy (often multifactorial)
Deformation
Deformation • Abnormal ... distorting otherwise normal ... of previously normal