Saturday, November 1, 2025

Visual 9: The Scientific analytical cutting layer: GIM November 7

The Scientific analytical cutting layer:



What is the sensitivity, specificity of a CT abdomen in a woman with chronic mild intermittent regular pain abdomen and a vague lump in her abdomen?




Are most drug efficacies simply of marginal benefit to patients?


Individual clinical decision making around antibiotic choices anecdote:




Fever chart 

"@⁨Meta AI⁩ Update:
Reviewed the history and it does look like she began with right lower limb cellulitis and then went on to develop heart failure as similar to our ProJR here: @⁨hu1 and then currently she appears to be having nosocomial sepsis and I'm not sure how she grew klebsiella in her blood culture at the day of admission before she was escalated here on piptaz @⁨hu3 please share her deidentified blood culture report.

Unquoted from:


Global clinical decision making around antibiotic choices anecdote:




"It's 3 AM. You're staring at a febrile patient with suspected sepsis. Culture pending. Your hand hovers over the prescription pad. Piperacillin-tazobactam? Meropenem? The voice in your head whispers: "Go broad. Cover everything. Better safe than sorry."

You write for meropenem. Again.

Here's what that voice doesn't tell you, that, in doing so, you've just contributed to a crisis that's killing more people than you might save."


Unquoted above from the link below:

https://www.linkedin.com/pulse/tales-medical-practice-chapter-11-when-antibiotics-stop-kosuru-kknbc


And AI driven decision support for the whole patient:



Above from the static case report journal published version : 



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