Medicine prudence

Here is practical application of CLINICAL DECISION SUPPORT TOOL  case 1 : 40F with known Autoimmune disorder on immunosuppression presented with cough with sputum, high grade fever.  she was started on ceftriaxone, oseltamivir and fluconazole before getting labs. PI : Primary investigator (me) CDST : clinical decision supportive tool PI TO CDST :  pretend like expert internal medicine physician with decades of experience in rheumatology, pulmonology, critical care and infectious diseases. solve me this case and generate reason analysis and differential diagnosis and workup plan. here is 40 y female with previously admitted 4 months back for viral pyrexia with myocarditis on workup diagnosed to have positive ANA with SS ro or sjogrens antibodies positive ( consider either or situation and include both in output) with moderate to severe PAH which was resolved with medical management. with rheumatologist advise she is currently on tapering dose of oral prednisone 7.5mg onc...

  Department of General Medicine at Prudence Hospitals, Nizamabad The Department of General Medicine at Prudence Hospitals, Nizamabad, is proud to announce the launch of its academic program, now enhanced by the acquisition of Diplomate of National Board (DNB) Medicine seats. This achievement marks Prudence Hospitals as the only private hospital in the Nizamabad district to secure DNB seats, a significant milestone that underscores our commitment to high-quality medical education and patient care. Our department is dedicated to providing evidence-based, patient-centered care. We prioritize the unique needs of each patient, ensuring that our approach minimizes the risks of overdiagnosis and overtreatment. Much like a skilled navigator guiding a ship through stormy seas, we strive to chart a course that balances thoroughness with restraint, helping our patients achieve the best possible health outcomes. In addition to delivering top-notch clinical care, our department is focused on f...