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Pain-Related Medication in Adults with Intellectual Disability: a systematic review [Pain management]

Annals of Family Medicine

Setting or Dataset: All health/community settings. Results: 21,603 articles identified. Following removal of duplicates 20,425 titles, 2,716 abstracts, 341 full-text articles were screened; 28 articles were eligible for inclusion. There was over-prescribing of antipsychotic medication without an associated diagnosis.

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“The Gender Gap in Diagnostic Reasoning: The Launch of Women in Diagnosis (WDx)” – Smitha Ganeshan

The Clinical Problem Solvers

The Gender Gap in Diagnostic Reasoning: The Launch of Women in Diagnosis (WDx) Smitha Ganeshan, MD MBA Acknowledgements: Sharmin Shekarchian, MD, Emma Levine, MD, and Lindsey Shipley, MD, Daniel Minter, MD Medicine has a gender problem. being easygoing and consensus-based) and the demands of leadership positions (e.g.,

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Migraine headaches: diagnostic and treatment tips

Common Sense Family Doctor

An article on acute migraine headaches in the April 2025 issue of American Family Physician reviewed current treatment strategies for acute migraine headaches, which “account for … 3.6 million primary care visits annually and are the fifth most common reason for emergency department visits” in the United States.

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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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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

A previous AFP article that reviewed treatment options for localized prostate cancer, including active surveillance, included the patient-administered Charlson Comorbidity Index and a life expectancy table for U.S. Also, limited life expectancy increases the likelihood of complications from most procedures, including radiation therapy.

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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).