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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

Welcome, Clinical Problem Solvers, to our first post in the “Clinical Reasoning Corner,” where we will take a deeper dive into key concepts that shape how we think through cases. The “Clinical Reasoning Corner” will provide an introduction to the topics that keep our reasoning rooted in the core principles of clinical problem solving.

Clinic 52
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Problem Representation

The Clinical Problem Solvers

Clinical Reasoning Corner: Problem Representation By: Marcela A. de Oliveira Santana and Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers! The problem representation during the clinical reasoning process The PR is linked to hypothesis-generation and can act as a guide during the diagnostic journey.

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Subclavian Steal Syndrome

Vascular Physician

Medications to use include controlling dyslipidemia, hypertension, and diabetes along with antiplatelet therapy. Treatment Options Conservative management includes lifestyle changes such as smoking cessation, weight loss, and regular physical exercise.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. As described by my friend Jack Penner elsewhere in this blog series, a core tenet of analytic reasoning involves interpretation of the pretest and posttest probabilities of a disease. We walked down to the emergency room and reviewed his chart.

Illness 52
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Peripheral Arterial Disease and Foot Wounds

Vascular Physician

. · Past medical history indicators of PAD include: history of smoking, age 65 or greater, diabetes history, CAD or stroke, or history of renal, carotid or mesenteric ischemia. · Detailed history including claudication symptoms, rest pain, diabetes and smoking history, history of renal, carotid or mesenteric ischemia.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. And you wrote, actually, a beautiful GeriPal blog about it a while ago. What is it called?

Illness 137
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8 Reasons Why Family Physicians are the Actual Stars of Medicine

Family Medicine Initiative

On average, twice as many patients have contact with GPs than with all specialists (in offices and/or outpatient clinics) combined. 22 Family physicians are the sole care providers for 86% of hypertensive patients and for 71% of diabetics (based on 2.7 million Canadian patients). of healthcare costs in the EU 2018.