PEMBlog

OCTOBER 17, 2023

She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone. F), HR 140, RR 12, BP 104/67, sat 99% on room air The patient was crying and appeared uncomfortable Moist mucous membranes. She had a normal appetite until the day of presentation. Conjunctiva normal.

Diagnosis 69

Diagnosis Diagnose Clinic Patients 69

Common Sense Family Doctor

MAY 1, 2025

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnosis 52

PEMBlog

OCTOBER 16, 2023

She was diagnosed with constipation. The patient completed the miralax cleanout followed by daily miralax, and started having soft, formed stools daily without any pain (Bristol type 4). OHVIRA Syndrome The patient’s ultrasound revealed an obstructed hemivagina. She had a normal urinalysis and the abdominal x-rays seen here.

PCP 69

PCP PCP Diagnosis Diagnose 69

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Providers across six Northern California clinic sites surveyed over an 8-week period (March 21-May 16, 2023). Study Design and Analysis: Survey research and retrospective chart review. Practice settings included general primary care, senior care, concierge care, urgent care, and employer-based care.

Telemedicine 130

Telemedicine Primary Care Provider Nurse Practitioner 130

Today's Hospitalist

MAY 9, 2025

For many of us, the emergence of medical scribes, both in-person and remote, provided a valuable solution, offloading documentation and allowing us to have more focused patient interactions. It can differentiate between a physician’s questions and a patient’s responses and even filter out non-relevant small talk.

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

PEMBlog

OCTOBER 18, 2023

Neonatal Toxic Shock Syndrome-Like Exanthematous Disease The patient was diagnosed with Neonatal Toxic Shock Syndrome-Like Exanthematous Disease (NTED). This patient was hospitalized for 4 days where he remained well-appearing. 2023; 40( 2): 349- 351. Neonatal Toxic Shock Syndrome-Like Exanthematous Disease E. Nishida, H.,

Diagnosis 59

Diagnosis Diagnose Illness Patients 59

Physician's Weekly

JUNE 24, 2025

.” Because the FDA first approved an RSV vaccine in 2023, the 2023-24 season provided “the first opportunity to see it in a real-world context,” said Pauline Terebuh, an epidemiologist at Case Western Reserve School of Medicine and an author of a recent study in the journal JAMA Network Open.

Vaccination 52

Vaccination Illness Hospital Patient-Centered 52

Myriad Genetics

APRIL 15, 2024

Typically, the way to diagnose 22q prenatally is through chorionic villus sampling or an amniocentesis. 4 In a recent presentation, Dale Muzzey, PhD, Chief Scientific Officer at Myriad, summarized the findings this way: “We followed up with providers regarding their patients who screened positive for 22q. Published 2023 Jan 6.

Screening 52

Screening Patient-Centered Diagnosis Healthcare 52

FDA Law

DECEMBER 4, 2023

11, 2023 ( DOJ Press Release ). 6, 2023 ( DOJ Press Release ). Lack of Individual Drug Therapy Pattern prescribing can occur when physicians prescribe the same drugs, in the same quantities, in the same strengths to their patients, or a patient receives the same controlled substances repeatedly with no adjustment or change in therapy.

Treatment Plan 139

Treatment Plan ER Government Patient-Centered 139

PEMBlog

SEPTEMBER 6, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

PEMBlog

MARCH 4, 2025

Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations. After a lull during the COVID 19 pandemic, cases reemerged in 2023 and continued to climb into 2024. Mycoplasma pneumoniae.

Patient-Centered 91

Patient-Centered Diagnosis Complication Community 91

PEMBlog

MAY 1, 2025

Learning Objectives Describe the classic and atypical clinical presentations of Parvovirus B19 infection in pediatric patients, including erythema infectiosum, arthropathy, transient aplastic crisis, and chronic anemia in immunocompromised hosts. Sometimes I share it with patients and families. UpToDate , Jun. Parvoviruses.

Complication 83

Complication Patient-Centered Patients Clinic 83

PEMBlog

OCTOBER 26, 2023

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. Reference article, Radiopaedia.org (Accessed on 26 Oct 2023) [link] Sagar J, Kumar V, Shah DK. Updated 2023 Jan 30]. ” An et.

Diagnosis 64

Diagnosis Complication Consulting Management 64

PEMBlog

SEPTEMBER 24, 2024

At that point, he was referred to pulmonology who started the patient on albuterol, manual chest physiotherapy, and a steroid inhaler with a plan for a fourth chest x-ray four weeks later. On arrival, the patient was febrile to 38.3C. Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS).

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

The Clinical Problem Solvers

DECEMBER 16, 2020

Moreover, center patients not only in discussions about individual decision-making but in constructing and drawing meaning from the research. While there indubitably exists a need to advance scholarship and theory, we must also ground ourselves in the day-to-day actions that can bring comfort and kindness to our patients.

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

GeriPal

NOVEMBER 9, 2023

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. Eric: Vicky, anything you’d add to that? I think that’s important.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

Family Medicine Initiative

MAY 7, 2025

Published in the NEJM in 2023, this RCT recruited 1,643 patients from the UK aged 50-69 with localized prostate cancer. Of course, patients could change treatment later (61% of those under active monitoring did so). They received either prostatectomy, radiotherapy or active monitoring.

DO 130

DO Family Medicine Diagnose Family 130

Physician's Weekly

JUNE 19, 2025

On Fridays, Stephanie Johnson has a busy schedule, driving her navy-blue Jeep from one patient’s home to the next, seeing eight in all. Forget a lunch break; she often eats a sandwich or some nuts as she heads to her next patient visit. “Our patient isn’t just the older adult,” Johnson said. “Hello.

Nurse Practitioner 52

Nurse Practitioner Family Families Primary Care 52

PEMBlog

OCTOBER 19, 2023

Platelets 134 × 10 9 /L Alk phos 470 U/L AST 84 U/L ALT 40 U/L VBG pH 7.320, pCO2 81, HCO2 22 Urine Drug Screen positive for cannabinoids The patient had chest x-ray without any notable pathology. The patient was ultimately diagnosed with tyrosinemia type 1, an autosomal recessive disorder of amino acid metabolism. mg/dL Hct 30.7%

Screening 52

Screening Diagnosis Diagnose Management 52

Physician's Weekly

JUNE 11, 2025

The systematic review of peer-reviewed intervention was published from 2018 to 2023. The Southern US accounts for more than half of all new HIV diagnoses, and in Georgia, where I practice, new HIV diagnosis rates in 2022 were seven times higher among Black women than White women and two times higher than among White men.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

Family Physicians of Greeley

OCTOBER 2, 2023

One of the scariest things to ever hear is that you or a loved one has been diagnosed with cancer. Would you be surprised to learn that 1 in 8 women are diagnosed with breast cancer in their lifetime? Breast cancer is the most commonly diagnosed cancer In the United States. What puts you at risk for breast cancer?

PCP 40

PCP PCP Diagnose Family Physician 40

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Common Sense Family Doctor

FEBRUARY 15, 2025

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. The ad states that patients may pay as little as $5 per dose, 4 times per year.… Who could blame a patient for believing the drug doesn’t cost much. All of us.

Family Physician 40

Family Physician Manufacturing Family Families 40

PEMBlog

DECEMBER 14, 2023

Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Tracheomalacia and bronchomalacia in children: incidence and patient characteristics. But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically. Otolaryngol Head Neck Surg.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

AUGUST 17, 2023

The outlook on amyloid antibodies are looking brighter though in 2023. However, as noted in our editorial published with the donanemab trial , the modest benefits of amyloid antibodies would likely not be questioned by patients, clinicians, or payers if amyloid antibodies were low risk, inexpensive, and simple to administer.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

MARCH 24, 2023

JAMA IM 2023 A shout-out to my NPR episode on 1A titled the “State of Hospice Care” DISCLAIMER While we filmed in Montreal during the Annual Assembly, all opinions expressed in this podcast are independent of AAHPM and HPNA, or the Annual Assembly. And that’s an ADC of two to three patients a day. JAMA Health Forum.

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IT Provider Patients Family 115

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. In one room the physician under study interacts with a white patient-actor, and in another room interacts with a Black patient-actor. Alex: That’s great.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

PEMBlog

MARCH 27, 2024

Updated 2023 Jul 17]. After doing her MD PhD at Columbia University, where she investigated the genetic diagnosis of kidney disease, she started her residency training with the long term goal of being a physician scientist caring for patients with rare genetic disorders. You can contact her via email at egroopman@childrensnational.org.

Consulting 59

Consulting Individual Family Families 59

Vida Family Medicine

MARCH 1, 2023

This week, February 27-March 5, 2023, marks National Eating Disorder Awareness Week. As a person who has recovered from an eating disorder and a physician who treats many patients who are in recovery, I think it is extremely important to take advantage of this week every year to spread awareness.

Mental Health 52

Mental Health Physicals DO Family Medicine 52

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Care Ecosystem.

Patient-Centered 126

Patient-Centered IT Family Families 126

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

DECEMBER 4, 2024

Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2023–24 School Year. An alternative treatment, you would be trimethoprim sulfamethoxazole for patients who are allergic to macrolides. I’ve had patients say, well, I don’t want tetanus. So that starts in triage.

IT 52

IT Vaccination Diagnosis Complication 52

Physician's Weekly

JUNE 17, 2025

By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. Insurers have used prior authorization for decades to limit fraud, prevent patient harm, and control costs. . For most patients, though, the process works seamlessly. BRIDGEPORT, W.Va. —

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

Physicians News Digest

APRIL 3, 2025

The episodes turned both women into advocates for patients and spurred research that made American health care safer. Haskell, of Columbia, South Carolina, has done research and helped write AHRQ-published surveys and guidebooks on patient engagement for hospitals. It also has published tools and guidelines to enhance patient safety.

Patient-Centered 52

Patient-Centered Hospital Diagnose Medical 52