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In patients requiring antibiotic therapy, make rational choices (i.e., first-line therapies, knowledge of local resistance patterns, patient’s medical and drug history, patient’s context).
Clinical Reasoning Skills, Selectivity
Treatment
In patients with a clinical presentation suggestive of a viral infection, avoid prescribing antibiotics.
Clinical Reasoning Skills
Treatment
In a patient with a purported antibiotic allergy, rule out other causes (e.g., intolerance to side effects, non-allergic rash) before accepting the diagnosis.
Clinical Reasoning Skills
Hypothesis generation, History
Use a selective approach in ordering cultures before initiating antibiotic therapy (usually not in uncomplicated cellulitis, pneumonia, urinary tract infections, and abscesses; usually for assessing community resistance patterns, in patients with systemic symptoms, and in immunocompromised patients).
Selectivity
Investigation
In urgent situations (e.g., cases of meningitis, septic shock, febrile neutropenia), do not delay administration of antibiotic therapy (i.e., do not wait for confirmation of the diagnosis).
Selectivity
Treatment
Do not attribute acute symptoms of panic (e.g., shortness of breath, palpitations, hyperventilation) to anxiety without first excluding serious medical pathology (e.g., pulmonary embolism, myocardial infarction ) from the differential diagnosis (especially in patients with established anxiety disorder).
Selectivity, Clinical Reasoning Skills
Diagnosis, Hypothesis generation
When working up a patient with symptoms of anxiety, and before making the diagnosis of an anxiety disorder: Exclude serious medical pathology.
Selectivity, Clinical Reasoning Skills
Hypothesis generation, Diagnosis
When working up a patient with symptoms of anxiety, and before making the diagnosis of an anxiety disorder: Identify: other co-morbid psychiatric conditions, abuse, substance abuse
Clinical Reasoning Skills
Diagnosis, History
When working up a patient with symptoms of anxiety, and before making the diagnosis of an anxiety disorder: Assess the risk of suicide.
Clinical Reasoning Skills
History, Diagnosis
In patients with known anxiety disorders, do not assume all new symptoms are attributable to the anxiety disorder.
Clinical Reasoning Skills
Diagnosis, Hypothesis generation
To generate individual key feature specific field notes, click on the theme link for the desired key feature. To generate field notes for all key features resulting from your search, click on the button at the bottom of the search page.

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