Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 3/2017

01-03-2017 | Clinical Practice: Exercises in Clinical Reasoning

Lessons Learned from a Middle-Aged Man with Testicular Pain: Exercises in Clinical Reasoning

Authors: Brittany Payne, MD, MPH, Walter A. Brzezinski, MD, Amanda V. Clark, MD, Carlos A. Estrada, MD, MS, Ryan R. Kraemer, MD

Published in: Journal of General Internal Medicine | Issue 3/2017

Login to get access

Excerpt

In this series, a clinician extemporaneously discusses the diagnostic approach (regular text) to sequentially presented clinical information (bold). Additional commentary on the diagnostic reasoning process (italics) is integrated throughout the discussion. …
Literature
1.
Trowbridge RL, Rencic JJ, Durning SJ. Teaching Clinical Reasoning. American College of Physicians: Philadelphia, Pennsylvania; 2015:56–8.
2.
3.
Small C, Land A, Haist S, Estrada CA, Snyder ED. Managing cognitive load to uncover an unusual cause of syncope: exercises in clinical reasoning. J Gen Intern Med. 2016;31(2):247–51.CrossRefPubMed
4.
Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355:2217–25.CrossRefPubMed
5.
Redelmeler DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142:115–20.CrossRef
6.
7.
Goldszmidt M, Minda JP, Bordage G. Developing a unified list of physicians’ reasoning tasks during clinical encounters. Acad Med. 2013;88:390–7.CrossRefPubMed
8.
Mamede S, Schmidt H, Rikers R. Diagnostic errors and reflective practice in medicine. J Eval Clin Pract. 2007;13:138–45.CrossRefPubMed
9.
10.
Moulton CE, Regehr G, Mylopoulos M, MacRae HM. Slowing down when you should: a new model of expert judgment. Acad Med. 2007;82(10 Suppl):S109–16.CrossRefPubMed
11.
Graber M, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;7:535–57.CrossRef
12.
Trowbridge R. Twelve tips for teaching avoidance of diagnostic errors. Med Teach. 2008;30:496–500.CrossRefPubMed
13.
Lightfoot RW, Michel BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa. Arthritis Rheum. 1990;33:1088–93.CrossRefPubMed
14.
Klippel JH, Stone JH, Crofford LJ. Primer on the Rheumatic Diseases. New York: Springer; 2008. ProQuest ebrary. Web. 3 June 2015.
15.
Guillevin L, Mahr A, Callard P, Godmer P, Pagnoux C, Leray E, Cohen P. Hepatitis B virus-associated polyarteritis nodosa: clinical characteristics, outcome, and impact in treatment in 115 patients. Medicine. 2005;84:313–22.CrossRefPubMed
Metadata
Title
Lessons Learned from a Middle-Aged Man with Testicular Pain: Exercises in Clinical Reasoning
Authors
Brittany Payne, MD, MPH
Walter A. Brzezinski, MD
Amanda V. Clark, MD
Carlos A. Estrada, MD, MS
Ryan R. Kraemer, MD
Publication date
01-03-2017
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 3/2017
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-016-3882-0

Other articles of this Issue 3/2017

Journal of General Internal Medicine 3/2017 Go to the issue

Original Research

Who Gets Testosterone? Patient Characteristics Associated with Testosterone Prescribing in the Veteran Affairs System: a Cross-Sectional Study

Letter to the Editor

Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care

Original Research

Acceptability of Naloxone Co-Prescription Among Primary Care Providers Treating Patients on Long-Term Opioid Therapy for Pain

Editorial

Isolation Precautions for Hospitalized Patients: The Challenges of Identifying Unintended Individual Consequences and Measuring the Prevention of Community Harm

Original Research

Knowing Your Limits: A Qualitative Study of Physician and Nurse Practitioner Perspectives on NP Independence in Primary Care

Innovation and Improvement: Innovations in Medical Education

Development and Implementation of a Novel HIV Primary Care Track for Internal Medicine Residents
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits