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Screening for lead poisoning: Who to test and when to act

Screening For Lead Poisoning

Nearly 500,000 US children aged 1 to 5 have blood lead levels above the CDC’s reference value. Most show no symptoms at all. By the time a child looks unwell, the harm to a developing brain has usually already been done. The screening for lead poisoning has to find which children you test, how you […]

Otoscope examination: Technique, findings, and documentation

Otoscope examination

An otoscope examination is a bedside inspection of the ear canal and tympanic membrane using a handheld illuminated scope. It is the first tool a clinician reaches for when a patient reports ear pain, hearing loss, or discharge. Ear complaints are among the most common reasons patients attend primary care and ENT appointments. Technique errors […]

Headache physical exam: A clinician’s step-by-step guide

Older adult with a doctor performing a physical examination for a headache.

Papilledema, meningism, and a new focal deficit are all easy findings to spot. They are also easy to skip when a busy consultation runs on instinct instead of a sequence. That is the risk a structured headache physical exam removes. This guide walks through the exam in the order you perform it. It starts with […]

Medical necessity letter: Template, example and how to write one

Download your free medical necessity letter template The template lays out the letterhead, patient and plan details, diagnosis and ICD-10 code fields, and signature lines. It also prompts you for the clinical justification and treatment duration. Replace the bracketed text with your own detail and send it. Download template A medical necessity letter is a […]

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