Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Fecal Occult Blood Testing…Just Stop. Please.
FOBT and FIT don’t earn their keep in the ED. They were built for outpatient colorectal cancer screening, not acute GI bleeding—and they’re unreliable for both upper bleeds and clinical decision-making. A patient’s story, vitals, and hemoglobin drop tell you more than any stool card ever will. If the result wouldn’t change your management, don’t order the test.