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PEMPix 2023 Online Case 2: Walk Softly

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone. The family denies any sore throat, abdominal pain, diarrhea, vomiting, conjunctivitis.

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A podcast episode about laryngomalacia

PEMBlog

Early diagnosis is crucial as it can impact a child’s growth and development. Learn all about diagnosis and management of this common problem in this brief podcast episode. 2016 Apr;83:78-83. Expiratory airway sounds are commonly heard in addition to the stridor, and diagnosis needs scope.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. 2016 Jan;37(1):3-15; quiz 16-7, 47. Inborn errors of metabolism in infancy: a guide to diagnosis. So, importantly, you may not have a positive family history. Pediatr Rev. doi: 10.1542/pir.2014-0122.

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Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri

GeriPal

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 111
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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

Family 107
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Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

GeriPal

So I have thought about this for months, maybe years since your 2016, cycle blog, but we have picked Under Pressure by David Bowie and Queen. And he was so thankful that he kind of ended up in the hepatic coma and got diagnosed with liver cancer because it was his chance to be linked to treatment for addiction, which is so extreme.

Illness 103
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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Four percent. So being well and also potentially periods of dying.

Illness 144