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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Recall from our first article in the “Clinical Reasoning Corner” that pretest probability represents the relative probability we attribute to a certain disease before we gather further diagnostic data. As this article explains , using LRs can be time consuming, making it impractical to apply them to every clinical decision.

Clinic 52
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Prevention of Dementia: Kristine Yaffe

GeriPal

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. Physical activity is a big one. But there are some things that we really think we can modify: the vascular risk factors, sleep, physical activity, maybe cognitive activity, and what kind of bang for the buck could we get?

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. All kids with hypertensive emergency need ICU-level care. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.

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GeriPal Takeover! Nancy Lundeberg and Annie Medina-Walpole

GeriPal

We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. And then I got to choose the first article.

IT 65
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

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. Is your impression that HFpEFde is under diagnosed in older adults? Eric 13:28 Thank you.

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Managing Urinary Symptoms and UTI’s in Older Adults

GeriPal

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. 50 to 70% of people who are diagnosed with UTIs probably don’t have a UTI.