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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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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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Telemedicine vs. In-Person Care: Choosing the Best Option for Your Health

Edge Family Medicine

When to Choose Telemedicine Routine follow-ups for chronic conditions like hypertension, diabetes, or asthma. When to Visit in Person Annual physical exams & vaccinations. Effective Follow-Ups – Great for medication adjustments, test results, and chronic disease management. Mild illnesses such as colds, rashes, or minor infections.

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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. But really those urinary tract signs and symptoms should be driving your diagnosis.

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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. Eric 12:05 Any pearls on the diagnosis of HFpEF. Nicole 12:14 No, HFpEF is cool, and it’s fine.