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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). 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.

Illness 52
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Health and Wealth Shocks: Lauren Hunt, Rebecca Rodin, Tsai-Chin Cho

GeriPal

Tsai-Chin’s article, published in Lancet Healthy Longevity, found a tantalizing hint that countries with stronger safety nets had lower incidence of wealth shocks, and less of a deleterious impact of the wealth shock on cognitive function. And a couple of classic articles in this area. Rebecca 06:30 Yeah, absolutely. Lauren 12:34 Yeah.

Illness 60
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Time spent diagnosing, monitoring, and treating asymptomatic prostate cancer in men with limited life expectancy distracts from monitoring and treating their symptomatic life-limiting illnesses. 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).

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Transforming the Culture of Dementia Care: Podcast with Anne Basting, Ab Desai, Susan McFadden, and Judy Long

GeriPal

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

Community 102
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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%. We have patients who are acutely ill, pulmonary consequences can be really, really serious for a lot of our hospitalized patients. But again, most of my clinical practice, until recent years, has been in the acute care setting.

IT 125
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? So say you have somebody new diagnosis, you’ve just put them on Metformin and something else, and you slap a CGM on them and they can see it. Listen in to learn more! Eric: Practical advice.