Ward Slang Intermediate Ward Slang

Shotgun

Formal Definition

Ordering a large number of tests without a focused differential, hoping something will turn up.

How It's Used on the Ward

"Don't shotgun labs" - be thoughtful about what you order and why.

Example

"Attending: "Why did you order a sed rate, CRP, ANA, RF, anti-CCP, and complement levels?" Student: "I wasn't sure..." Attending: "That's shotgunning. Start with your differential.""

Clinical Context

Shotgunning is bad medicine and expensive. Every test should answer a specific clinical question. Attendings will call you on it.

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