Selectivity

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Given a patient with abdminal pain, paying particular attention to its location and chronicity: Investigate in an appropriate and timely fashion.
Clinical Reasoning Skills, Selectivity
Investigation
In a patient with acute abdominal pain, differentiate between a surgical and a non-surgical abdomen.
Clinical Reasoning Skills, Selectivity
Physical, Diagnosis
In specific patient groups (e.g., children, pregnant women, the elderly), include group-specific surgical causes of acute abdominal pain in the ddx.
Clinical Reasoning Skills, Selectivity
Hypothesis generation, Diagnosis
Given a patient with a life-threatening cause of acute abdominal pain (e.g., a ruptured abdominal aortic aneurysm or a ruptured ectopic pregnancy): Recognize the life-threatening situation.
Selectivity
Diagnosis
Given a patient with a life-threatening cause of acute abdominal pain (e.g., a ruptured abdominal aortic aneurysm or a ruptured ectopic pregnancy): Stabilize the patient.
Selectivity, Clinical Reasoning Skills
Treatment
Given a patient with a life-threatening cause of acute abdominal pain (e.g., a ruptured abdominal aortic aneurysm or a ruptured ectopic pregnancy): Promptly refer the patient for definitive treatment.
Selectivity
Diagnosis, Referral
Promptly defibrillate a patient with ventricular fibrillation (V fib), or pulseless or symptomatic ventricular tachycardia (V tach).
Clinical Reasoning Skills, Selectivity
Treatment
Suspect and promptly treat reversible causes of arrhythmias (e.g., hyperkalemia, digoxin toxicity, cocaine intoxication) before confirmation of the diagnosis.
Clinical Reasoning Skills, Selectivity
Hypothesis generation, Treatment
Ensure adequate ventilation (i.e., with a bag valve mask), and secure the airway in a timely manner.
Clinical Reasoning Skills, Selectivity
Treatment
In a patient presenting with an anaphylactic reaction: Recognize the symptoms and signs.
Selectivity, Clinical Reasoning Skills
Diagnosis
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