@adnanmd: another clinical pearl - this time for any residents or students evaluating patients in the emergency department 🚨 #medicine #healthcare #residency #doctor
For women especially it'll be called anxiety or blamed on their cycles, and they'll be out without a second look let alone a test.
2025-09-15 20:04:08
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RatchetResponder :
Yes! I ask those patients “what changed today that made you realize you needed to come to the ER”. Great advice.
2025-09-15 05:41:41
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Min K :
As a second year medical student, our clinical skills director always tells us to ask this question in our histories but this just reinforces to me why I should make a point to ask everytime
2025-09-14 22:13:31
102
Fay :
Am I med student? No. Am I going to remember this for when I never work in ED? Yes
2025-09-15 00:31:11
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Doc Thundy :
We ask the same thing in EMS. A chronic or lasting illness, what changed that made you call 911?
2025-09-15 05:17:15
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JennP :
“What’s different” is just as easy to ask
2025-09-16 16:38:16
14
Rachedy :
Triage nurse. I Ask the same questions. If they’re hemming and hawing around I ask specifically do you have X, Y or Z? I don’t want to miss a stroke or a deficit in triage even if they are a chronic migrainer. Med students and Interns should spend a day in triage, that would be fun.
2025-09-15 07:05:44
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Daniel Lemke :
It’s not true 100% of the time but start with the assumption that they are there for a very good reason. Your job is to understand why.
2025-09-16 00:37:27
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Ana Louisa :
Headaches are so different than migraine 😩 - if I have to go to the ER means I have an extended than normal migraine with a more intense pain that cannot be managed at home with the usual protocol.
2025-09-15 08:46:53
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nassia 💘🫶🏼💅🏼 :
As an ER resident, this is the key question that changes it all. It gives you the one thing you need to know that some patients wouldn’t even mention otherwise. Great advice !
2025-09-16 06:54:31
7
Ott Takes :
My favorite question! “What made you feel like your symptoms became an emergency today?” It helps me address their specific concerns, rather than applying my assumptions to why the patient came in.
2025-11-12 11:47:44
1
Your fav_NP :
Same for urgent care.
2025-09-15 02:54:35
11
Offshift Media :
Always do. What brought you in today at 345 in the morning.
2025-09-15 13:46:48
9
A :
Let me just ✍🏻✍🏻 keep these coming pls
2025-09-15 10:20:39
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Gluteus Maximus the cat :
Clarifying questions are so important.
2025-09-21 22:13:04
1
Fatin Daud :
A lot of my patients take offense at times when i ask “so why did you decide to come to emergency TODAY” as if im gaslighting them, but in actuality im trying to understand what exactly im dealing with, and rule out all life threatening conditions and warning signs.
2025-10-02 16:34:51
1
lyndseyorato :
couldn't say it any better
2025-09-22 08:40:35
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melissa👱🏼♀️👱🏼♀️ :
yesss
2025-09-15 02:42:21
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HomeyHive :
@I’m id
2025-11-12 05:27:00
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Sibongakonke :
Why do we still call it… Past medical history?
2025-09-15 14:07:05
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zamarajunk :
100%
2025-10-07 03:04:08
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Allison Arguello :
I just started working as an EM PA, I love hearing really useful pearls like this, thank you!
2025-10-13 23:24:16
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Bazo Da son of Nanziri :
Everyday challenges.... Thanks sir
2025-09-19 11:15:46
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Ems :
Thank you for these precious info.
2025-09-15 18:54:43
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AgronD :
I ask this on a lot of calls in EMS. What happened today that made you call?
2025-09-15 13:43:22
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