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Subclavian Steal Syndrome

Vascular Physician

Type I – Antegrade vertebral flow is reduced Type II – Antegrade flow during diastolic phase and retrograde flow during systolic phase Type III – Permanent retrograde vertebral flow Diagnosis Diagnosis can be made using imaging such as duplex ultrasound of the subclavian and vertebral arteries.

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Orthopedic Pain Management: When to Skip the Specialist

Priority Physicians

In our direct primary care setting, we take the time to deep-dive and explain options to our patients so they’re comfortable with a diagnosis and treatment plan that might not require an X-ray. An MRI augments and adds confidence to our clinical diagnosis. Imaging isn’t always required to get them there.

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. JAMA Pediatr.

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Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

PEMBlog

(Blooms: Apply; Kirkpatrick Level 2 Learning) Evaluate the risks and benefits of ultrasound, CT, and MRI for common pediatric emergencies and identify appropriate imaging modalities based on clinical guidelines discussed in the podcast. Subspecialists are key, right? And that’s really not the case at all. and it can be overwhelming.

Families 101
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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

Eric: Well, before we talk about dysphagia and revisit it, which is also interesting, because this is our first podcast, I think on dysphagia, but we’ve talked about it before on GeriPal, in our blog. So, we use that information to formulate a treatment plan. I think someone has a song request for Alex. Raele: I do.

IT 124
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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

During that time, psychologist Herbert Freudenberger volunteered at a New York City free clinic treating addiction. He overheard the term and used it to describe himself and clinic staff in a 1974 article on staff burnout detailing long-term physical and psychological job stress. Yet moral injury is not an official diagnosis.

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What can we learn from simulations? Amber Barnato

GeriPal

Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. As we’ve written about on GeriPal when we were a blog (a decade ago!) Amber: Well, simulation is pretending, so I think of the way I use simulation is in trying to simulate clinical care.