debipbarik
Networker
Hi All,
I have a question regarding consideration of rule out condition while deciding high or moderate risk.
Can we always consider risk level based on differential diagnosis or rule out condition?
Example 1: Patient came with testicular pain. Ultrasound performed to rule out testicular torsion. Final diagnosis made bilateral hydrocele. What risk(moderate or high) we will consider for MDM.
Example 2: Patient came for chronic abdominal pain. Performed CT abdomen. Differential diagnosis: SBO and ileus. Past medical history include surgery for bowel obstruction 3 years back.
Patient discharged with abdominal pain diagnosis. No Medication given. Home medication includes losartan 100 mg.
Note: There are no other work up for both example.
It would be appreciable if anyone can help with deciding RISK for medical decision making. Also if anyone can share any guidelines or directive to consider DDx as deciding factor for RISK level would be helpful.
I have a question regarding consideration of rule out condition while deciding high or moderate risk.
Can we always consider risk level based on differential diagnosis or rule out condition?
Example 1: Patient came with testicular pain. Ultrasound performed to rule out testicular torsion. Final diagnosis made bilateral hydrocele. What risk(moderate or high) we will consider for MDM.
Example 2: Patient came for chronic abdominal pain. Performed CT abdomen. Differential diagnosis: SBO and ileus. Past medical history include surgery for bowel obstruction 3 years back.
Patient discharged with abdominal pain diagnosis. No Medication given. Home medication includes losartan 100 mg.
Note: There are no other work up for both example.
It would be appreciable if anyone can help with deciding RISK for medical decision making. Also if anyone can share any guidelines or directive to consider DDx as deciding factor for RISK level would be helpful.