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Using technology to reclaim our time

Today's Hospitalist

Looking ahead, here are several emerging innovations that promise to shape the next generation of these tools: Deeper integration with hospitalist workflow: Initiating an AI-assisted note may soon be as effortless as speaking naturally during a patient consult—no disruptions, no clicks. Published July 26, 2023. MEDITECH News.

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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

STAT Pearls, 2023 Wrap Up Meckel diverticulum is a congenital anomaly of the small intestine that can present with various clinical manifestations, including rectal bleeding and obstruction. The Meckel’s scan is the preferred diagnostic modality, and prompt surgical consultation may be necessary for symptomatic cases.

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PEMPix 2024 Online Case #2: Flight of Passage

PEMBlog

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. 2023 Jul 24. Treasure Island (FL): StatPearls Publishing; 2023 Jan–.

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You don’t need labs to medically clear a psych patient

PEMBlog

They carry existing diagnoses and are followed by outpatient mental health providers. In those without psychosis, those with likely psychosocial issues, especially those with a prior history of psychiatric diagnoses, and with reassuring history and exam, lab tests are not necessary to exclude a medical condition. J Emerg Med.

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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

Hot off the presses RCT in JAMA October 2023: Study that looks at 1000 female resident physicians at 26 sites that showed that coaching improved each outcome assessed (burnout, moral injury, imposter syndrome, self-compassion, and flourishing). AlexSmithMD 1. Beth, welcome to GeriPal. Beth: Thank you. Greg, welcome to GeriPal.

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Nurse Practitioners Critical in Treating Older Adults as Ranks of Geriatricians Shrink

Physician's Weekly

On a gloomy Friday in January, Johnson, a nurse practitioner who treats older adults, had a hospice consult with Ellen, a patient in her 90s in declining health. Ellen had been diagnosed with vascular dementia, peripheral vascular disease, and Type 2 diabetes. ” A month after the consult, Ellen died peacefully in her sleep.

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PEMPix 2023 Online Case 4: You Can’t Get Fooled Again

PEMBlog

Additional labs ordered per the consultant’s recommendations were notable for elevated PT/PTT, AFP, plasma tyrosine, and urine succinylacetone consistent with a diagnosis of tyrosinemia. The patient was ultimately diagnosed with tyrosinemia type 1, an autosomal recessive disorder of amino acid metabolism. Tyrosinemia Type I.