PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? In addition to CLMs, the differential diagnosis for these patients includes an airway obstruction, aspirated foreign body serving as an infectious nidus, and immunologic disorder.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

Priority Physicians

JANUARY 20, 2025

In our direct primary care setting, we take the time to deep-dive and explain options to our patients so they’re comfortable with a diagnosis and treatment plan that might not require an X-ray. An MRI augments and adds confidence to our clinical diagnosis. Contact your DPC physician immediately.

Management 52

Management Primary Care Physician Primary Care Patient-Centered 52

PEMBlog

FEBRUARY 6, 2024

Just look at the rash – then scroll down to reveal the diagnosis. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. That’s it. Nothing fancy. It’s Enterovirus! This rash is from enterovirus. It often looks dramatic like this in teenagers – and it can be painful. References Sinclair W, Omar M. Enterovirus.

Diagnosis 52

Diagnosis IT 52

PEMBlog

MAY 1, 2025

Clinical Manifestations and Diagnosis of Parvovirus B19 Infection. 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. UpToDate , Jun. Parvoviruses.

Complication 83

Complication Patient-Centered Patients Clinic 83

FDA Law

JUNE 3, 2025

DEAs position is contrary to statements made in the agencys 2024 Coconut Grove decision when its expert opined at the hearing that filling immediate-release opioids prescribed and dispensed over a period of one and a half to two years presented red flags and [the pharmacy] needed to properly resolve these red flags before dispensing.

Clinical Practice 59

Clinical Practice Patient-Centered Patients Clinic 59

FDA Law

FEBRUARY 2, 2025

By Sara M Keup In reviewing some new 2025 pharmacy rules/laws a couple interesting changes caught this bloggers attention: As of December 30, 2024, Missouri has rolled out new rules related to prescription drug delivery requirements. The California Board of Pharmacy updated many of the application forms and guidelines in late 2024.

Primary Care Physician 59

Primary Care Physician Primary Care Diagnosis Provider 59

PEMBlog

FEBRUARY 9, 2024

Just look at the rash – then scroll down to reveal the diagnosis. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. That’s it. This child was placed on Amoxicillin for acute otitis media and this rash developed after 9 days of treatment. The child has fever and swollen feet as well. References Rixe N, Tavarez MM.

Diagnosis 52

Diagnosis Family Families Hospital 52

Family Physicians of Greeley

APRIL 22, 2024

Diagnosis and Assessment: Diagnosing autism involves a comprehensive evaluation by healthcare professionals, including pediatricians, psychologists, and developmental specialists. It is often referred to as a “spectrum” because it manifests differently in each individual, ranging from mild to severe.

Individual 40

Individual Healthcare Professional Family Physician Education 40

FDA Law

JANUARY 15, 2025

Koblitz On January 7, 2025, FDA announced that back on November 12, 2024, the Center for Veterinary Medicine (CVM) issued Warning Letters to six online retailers marketing unapproved new animal drug products that purported to treat and control seizures and epilepsy in dogs and cats. By Charles D. Snow & Sara W. see also id.

Diagnosis 59

Diagnosis IT 59

PEMBlog

MAY 20, 2025

2024-066854. 2024-066855. Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement. Pediatrics. 2024;154(1):e2024066854. doi:10.1542/peds.2024-066854. Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Technical Report. Pediatrics. 2024;154(1):e2024066855.

Families 101

Families Family Hospital Patient-Centered 101

GeriPal

JUNE 20, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Someone else suggested, “Under Pressure,” but we’ve done it already. I suggested even flow.

IT 121

IT Patient-Centered Patients Clinic 121

FDA Law

OCTOBER 14, 2024

Gonzalez — On September 27, 2024, in U.S. Regulatory Background FDA regulates and generally requires premarket approval of all new drugs, which are defined as “articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease,” or “intended to affect the structure or any function of the body.”

Clinic 59

Clinic Patient-Centered Asthma Patients 59

FDA Law

OCTOBER 6, 2023

The amended regulation would read as follows (revisions underlined): In vitro diagnostic products are those reagents, instruments, and systems intended for use in the diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae.

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Provider Manufacturing IT Medical 64

GeriPal

JUNE 27, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. Alex Gamble, do you have a song? I forgot my guitar.

Illness 130

Illness IT Diagnosis Patient-Centered 130

Myriad Genetics

FEBRUARY 4, 2025

Storm was first diagnosed with ductal carcinoma in situ (DCIS) in January 2024 and underwent a lumpectomy shortly after. Her routine mammogram had detected something suspicious, prompting an ultrasound, which lead to a biopsy, which ultimately lead to her diagnosis. After her diagnosis and treatment, Storm reflected on her experience.

Diagnosis 52

Diagnosis Diagnose Family Families 52

Common Sense Family Doctor

MARCH 28, 2025

For comparison, there were 285 cases of measles in the United States in 2024, and there have already been more reported cases than in all but two years since 2000. In a 2024 American Family Physician editorial , Dr. Doug Campos-Outcalt reviewed best practices for diagnosis and prevention of measles.

Vaccination 52

Vaccination Family Physician Illness Families 52

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Hypertensive emergencies can result either from primary or secondary hypertension. References: Bertazza Partigiani N, Spagnol R, Di Michele L, et al.

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Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 29, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Don’t take my word for it, listen for yourself! Or better yet, watch the video of this one on YouTube. Lynn: Okay. It’s called Hot Ones. Anne: GeriPal edition. Anne: Right.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

JANUARY 18, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions. I got this.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

JULY 11, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) Renal P al?

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

FDA Law

MARCH 15, 2023

A reader may miss a cancerous lesion if the image quality is poor, resulting in a false negative diagnosis, which could delay treatment and result in an avoidable death. Conversely, a diagnosis could be a false positive, which can occur when an otherwise normal tissue is erroneously read as abnormal. Your breast tissue is not dense.

Healthcare 59

Healthcare Diagnosis Provider Individual 59

GeriPal

FEBRUARY 22, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Because we live in the world as it is, not as it should be, Des has helped develop an app ( link to pilot trial hot off the press !)

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

JANUARY 11, 2024

A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 9, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. He was also the one who we have to thank for suggesting this podcast! Hsien Seow & Samantha (“Sammy”) Winemaker : Hsein and Sammy’s goal was to start a revolution with their podcast “ The Waiting Room Revolution ,” which is now in its 7th season! Great title.

Education 128

Education IT Illness Healthcare 128

FDA Law

JANUARY 18, 2024

Rescheduling Recommendation, 2024 FDA’s 2023 analysis and recommendation finally came to light when Texas attorney Matt Zorn posted it on his website a week ago. FDA conducted the eight-factor scheduling analysis required by the CSA in 2016 and found that marijuana continued to meet the scheduling criteria for remaining in schedule I.

Medical 69

Medical Physicals IT Healthcare Professional 69

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Pediatr Rev. Pediatrics.

Consulting 59

Consulting Individual Families Family 59

FDA Law

SEPTEMBER 30, 2024

Yet another rejection was a proposal requiring a diagnosis on Medicaid prescriptions as a condition for claims payment. Despite the removal of some of the most controversial proposals, the final rule still contains a variety of significant changes, which become effective on November 19, 2024. pricing, among other things.

Manufacturing 59

Manufacturing Utilities Provider IT 59

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. Eric 00:13 And Alex, who do you have with us today? Alex 00:14 We have a very full house today. Hope Wechkin brought this topic to us.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

APRIL 18, 2024

We discuss, among other things: Findings that in several studies AI was rated by patients as more empathetic than human clinicians (not less, that isn’t a typo). Turns my concern about lack of empathy from AI on its head – the AI may be more empathetic than clinicians, not less. ” Eric: What was it called again, Wachter’s World?

IT 140

IT Electronics Patients Healthcare 140

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 25, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

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Primary Care IT Clinic Patient-Centered 80

GeriPal

AUGUST 22, 2024

Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist. We’ll have a link to that in our show notes. We’re gonna double up on that subject. Alex 01:07 We haven’t figured it out. Alex 01:48 All right.

IT 115

IT Families Family Patient-Centered 115

GeriPal

DECEMBER 21, 2023

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. This is Eric Widera. Alex: This is Alex Smith. It requires a fight. Malaz: I love it.

Patient-Centered 126

Patient-Centered IT Families Family 126

Physician's Weekly

JUNE 11, 2025

Losing Memory, and Other Things, Too Kennedy’s diagnosis led him to retire, ending a decades-long career as a software engineer at the University of Scranton. They have given him purpose, Kennedy said, and help him cope with negative emotions around his diagnosis. Socializing can also become more difficult after diagnosis.

Patients 52

Patients Families Family Diagnosis 52

GeriPal

SEPTEMBER 14, 2023

In addition to discussing these outcomes, we also discuss: The history of the hospital-at-home movement. The practicalities of how it works including who are good candidates, where does it start (the ED?), what happens at home, do you need a caregiver, what happens if they need something like imaging? How is it financed and what comes next?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

FEBRUARY 22, 2024

Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Newborn infants need intramuscular injections of Vitamin K in order to produce critical clotting factors. If they don’t get it they can have potentially life threatening bleeding. Improving the vitamin K status of breastfeeding infants with maternal vitamin K supplements.

Vaccination 72

Vaccination IT Diagnosis Hospital 72