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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

Context Concussions, or mild traumatic brain injuries, are diagnosed in 150,000 Ontarians annually, resulting in disruptions to work, school, and sport. Concussion management is complex: variable onset of symptoms, urban/rural disparities, and the many professionals involved in case management. 11 (9%) participated in FGDs.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

James Stevermer and Kenneth Fink wrote in an AFP editorial : Few men diagnosed with and treated for prostate cancer will experience a mortality benefit, and an estimated 20% to 50% of those treated will never become symptomatic, even without treatment. in 2019, with 78% receiving radiation therapy and 22% undergoing surgery.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae. Laboratory diagnosis and treatment of Mycoplasma pneumoniae infection in children: a review.

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PEMPix 2024 Online Case #2: Flight of Passage

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). 2019 Apr 1;48(4):e169-e174. Management of Congenital Lung Malformations.

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. Identifying the specific type of virus that are causing a child’s symptoms, like rhinovirus vs parainfluenza, is often unnecessary, especially in otherwise healthy children who are managed at home.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

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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. As a nurse case manager in hospice, half of my patients had dementia. Nurse case management, social worker case management, medications, medical equipment, a home health aid, all that stuff goes away.

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