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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

A CXR showed a left upper lobe consolidation, and he was treated with antibiotics for presumed community-acquired pneumonia. A lung biopsy demonstrated necrotizing granulomatous inflammation, and a diagnosis of GPA was made. Some of our favorite articles on the topic are listed below.

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

times more likely to develop urinary or sexual complications, 2.78 Also, limited life expectancy increases the likelihood of complications from most procedures, including radiation therapy. times as likely to develop bladder cancer, and 100 times as likely to develop radiation cystitis and proctitis.

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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Objectives Define likelihood ratios and their utility in diagnostic reasoning Identify how likelihood ratios alter the probability of a diagnosis Apply likelihood ratios in clinical reasoning What are likelihood ratios and how do they work? A LR > 1 increases the probability of a specific diagnosis.

Clinic 52
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Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

GeriPal

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

There’s an article about her in New York Times. So people who have Medicare mostly fee for service in a dementia diagnosis should have access to a care, essentially a care navigator for the duration of their condition, or at least the duration of the program. But it seems very apropos to the topic. Anna 01:38 Yeah. Here we go.

Screening 119
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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

But estimates in community dwelling older adults are around 15%. Eric: And swallowing is complicated, right? We don’t have to go into that, but I do want to highlight, you had a JAGS article that was published on pre-hospitalization dysphagia and feeding tube placement in nursing home residents with advanced dementia.

IT 124
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Prevention of Dementia: Kristine Yaffe

GeriPal

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. This is Eric Widera.