Common Sense Family Doctor

MAY 1, 2025

A retrospective analysis of characteristics of 15 consecutive years of code stroke cases at a hospital in Barcelona, Spain, found that patients who were ultimately diagnosed with migraine headache with aura (1.1%) were more likely to be younger, female, and have fewer vascular risk factors than patients with ischemic strokes.

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnosis 52

Common Sense Family Doctor

DECEMBER 14, 2024

James Stevermer and Kenneth Fink wrote in an AFP editorial : Few men diagnosed with and treated for prostate cancer will experience a mortality benefit, and an estimated 20% to 50% of those treated will never become symptomatic, even without treatment. Explaining the AAFP’s position, Drs.

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

The Clinical Problem Solvers

FEBRUARY 9, 2020

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

Clinic Diagnosis Hypertension Patients 52

AMMD

FEBRUARY 14, 2025

The average age of a breast cancer diagnosis has statistically been around 65. Now, roughly 9% of breast cancer diagnoses are in women under age 45 with this percentage continually rising(1). I will have an article about the dangers of gadolinium dye soon. Breast Cancer, as are all cancers, is on the rise. Don’t worry!

Diagnosis 130

Diagnosis Screening IT Patient-Centered 130

AMMD

APRIL 9, 2025

This is why many people fail to get a diagnosis. In this article, I’m going to help guide you through signs, symptoms, and ways to test for SIBO. How to Diagnose SIBO: Testing Options Conventional medicine fails us when it comes to solving complex gut issues. Many people chalk up digestive drama to something bad they ate.

IT 130

IT Diagnose Physicals Mental Health 130

The Medical Futurist

JUNE 17, 2025

For dentists, it’s transforming diagnosis, decision-making, and treatment planning. AI in oral and maxillofacial pathology: early detection, targeted treatments Oral cancers and other serious issues can lurk undetected with biopsies being the only way to diagnose them. This means faster results and less guesswork.

Patients 126

Patients Treatment Plan Healthcare Medical Specialty 126

The Clinical Problem Solvers

SEPTEMBER 28, 2019

If you’re anything like me, you’ve probably found yourself asking that question after listening to a discussant on the podcast arrive at some unexpected diagnosis, only to have the biopsy or lab test prove them right. “How do they do it?!!” Some specific activities mentioned by the participants included patient-directed reading (e.g.,

Lab Testing 52

Lab Testing Clinic Education Clinical Practice 52

AMMD

MARCH 13, 2025

In this article, you’ll learn what brain fog is, the causes of brain fog, and how to get rid of it. Brain fog is not a medical condition or a diagnosis. I’ll discuss more about how you can get rid of brain fog later in this article. I battled thyroid disease in medical school after being diagnosed with Graves’ disease.

IT 130

IT Medical Patient-Centered Relationship 130

PEMBlog

OCTOBER 26, 2023

Recognizing the characteristic features and understanding the differential diagnosis is crucial in managing patients with lower gastrointestinal bleeding. The Diagnosis of Meckel’s Diverticulum: A Continuing Challenge. Reference article, Radiopaedia.org (Accessed on 26 Oct 2023) [link] Sagar J, Kumar V, Shah DK.

Diagnosis 64

Diagnosis Complication Consulting Management 64

GeriPal

OCTOBER 13, 2022

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).

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

JANUARY 21, 2025

This article delineates the salient clinical features, associated complications, cost considerations, and risk profiles for each virus, thereby providing a framework for informed clinical decision-making. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

MARCH 14, 2024

You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Eric: So let me ask you this, Rale, because I feel like, it could be wrong, but the most common time where we start diagnosing dysphagia is during a hospital stay. Maybe we can ask for that. ” Nicole: Yeah, absolutely. Raele: Yes.

IT 125

IT Hospital Patient-Centered Individual 125

GeriPal

NOVEMBER 9, 2023

On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry. We make a diagnosis. Eric: We’ll have a link to one of those articles. Alex: I want to hear your reaction to the Guardian article, if we have time for that.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

DECEMBER 2, 2022

We discuss the importance of viewing individuals with dementia from a lens of resilience, the importance of creative engagement ( as noted in Anne and Susan’s wonderful article on this subject) , the role of collaborative care, and what we can do to improve inclusivity for individuals with dementia in our community and health care systems.

Community 102

Community IT Individual Patient-Centered 102

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MAY 11, 2023

Issues with sleep, like insomnia, does it lead towards a diagnosis of dementia, increase your risk, or is it that people with cognitive impairment, an early-on symptom is sleep disturbances and it’s more of a sign or symptom of early cognitive issues? And because we can’t resist, we dip into aducanumab and lecanemab at the end.

Physicals 86

Physicals IT Hypertension Education 86

Myriad Genetics

MARCH 19, 2024

A study by the American Cancer Society and published in CA: A Cancer Journal for Clinicians found that half of all new colorectal cancer diagnoses are in people 66 and younger. Though scientists haven’t determined the specific reasons, an article on the Keck Medicine of USC website indicates poor diet and sedentary behavior could play a role.

Individual 52

Individual Screening Diagnose Families 52

PEMBlog

JUNE 2, 2025

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. Mody for the mentorship and for the opportunity to bring together these articles.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 18, 2024

We got a couple of articles to discuss and a lot of different components of this. Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. Jessie: Yes.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

OCTOBER 17, 2024

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. Eric 12:05 Any pearls on the diagnosis of HFpEF. Yes, over diagnosed in older adults are about right.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. But really those urinary tract signs and symptoms should be driving your diagnosis.

Management 123

Management IT Medical Patient-Centered 123

GeriPal

APRIL 14, 2022

And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . Article on buprenorphine in the elderly. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. Would you also just mind mentioning kind of the JPSM article too? What drove you to write that article on this important trip to Seattle? And my article is about when I was a mid to junior faculty member trying to build this career.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. It’s the same measure we used in the New England journal article.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JUNE 15, 2023

For example, there was one article that we reviewed for Jags where it asked great questions, they gave great prompts, and ChatGPT answered great questions about antipsychotics and gave a list of references to back up ChatGPT’s assertions. Now actually suggesting perhaps that you missed a diagnosis that you should have considered?

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. So she had them early in diagnosis and then a little bit later. We could have talked for hours! You interviewed some geriatricians. Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. And we’ve been diagnosing it at Penn. Jason: So this drug upfront is a bit of work.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” In many, many, many of these studies, they excluded people with severe mental health distress, so certain mental health diagnoses were exclusion criteria from a palliative care study. Alex: And you had this fascinating article.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). I’m unsure what they do, how often they’re used, and who pays for their work. Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate.

Families 98

Families Family Patient-Centered IT 98

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. It’s something we need to pay attention to, which is what we were talking about in the article. People with dementia make up about half of hospice admissions. Melissa: Sure. I threw out a lot.

Families 107

Families Family IT Patients 107

GeriPal

SEPTEMBER 1, 2022

So in preparation for this, I read a couple articles about social work leadership in palliative care. And the title of his article is, does culture of modern day palliative care social work leave room for leadership, where he interviewed six leaders in palliative care, five or six for social workers. Eric: All right, Barbara.

IT 102

IT Families Family Clinic 102

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. The last time we had you on the podcast, Bill, you talked about your cancer diagnosis and a personal experience with MAID, which you also, we’ll have a link to your blog post too about this as well. So they have to self-administer. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 27, 2022

Someone who’s healthy in their 60s and just got diagnosed with diabetes, yeah, they might benefit, if they have a very long life expectancy, to prevent that decline in kidney function. Eric: Okay, I’m going to jump to the articles. Let’s start off with your article, James. It’s a more sensitive subject.

IT 95

IT Clinic Screening Patients 95