This case from my early residency experience poignantly reminds me of the complexities inherent in medical diagnosis, particularly at the intersection of mental health and physical illness. By adopting a holistic and unbiased approach to patient care, emergency physicians and other diagnosticians can better serve their patients, ensuring that no stone is left unturned in the pursuit of accurate diagnosis and effective treatment.
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ACEP Now: Vol 43 – No 10 – October 2024Dr. Harrell is a PGY-1 emergency physician at Houston Health.
Dr. Bower is an emergency physician at Houston Health.
References
- Gersh BJ, Maron BJ, Bonow RO, et al. 2011 ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: Executive summary: A report of the American College of cardiology foundation/American heart association task force on practice guidelines. Circulation. 2011;124(24):2761-2796.
- Pantazis A, Vischer AS, Perez-Tome MC, Castelletti S. Diagnosis and management of hypertrophic cardiomyopathy. Echo Res Pract. 2015;2(1):R45.
- Maron BJ, Casey SA, Poliac LC, Gohman TE, Almquist AK, Aeppli DM. Clinical Course of Hypertrophic Cardiomyopathy in a Regional United States Cohort. JAMA. 1999;281(7):650-655.
- Maron MS, Olivotto I, Betocchi S, et al. Effect of left ventricular outflow tract obstruction on clinical outcome in hypertrophic cardiomyopathy. Revista Portuguesa de Cardiologia. 2003;22(3):465-466.
- Ibrahim M, Rao C, Ashrafian H, Chaudhry U, Darzi A, Athanasiou T. Modern management of systolic anterior motion of the mitral valve. Eur J Cardiothorac Surg. 2012;41(6):1260-1270.
- Burns E, Buttner R. Hypertrophic Cardiomyopathy (HCM) • LITFL • ECG Library Diagnosis. Published 2022. Accessed April 17, 2024.
- Gersh BJ, Maron BJ, Bonow RO, et al. 2011 ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration with the American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America. J Am Coll Cardiol. 2011;58(25):212-260.
- Thomeer MB, Moody MD, Yahirun J. Racial and Ethnic Disparities in Mental Health and Mental Health Care During The COVID-19 Pandemic. J Racial Ethn Health Disparities. 2023;10(2):961.
- Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):1-8.
Correction: Dr. Harrell’s photo was incorrect and has been replaced. ACEP Now regrets the error.
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