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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! Thank you for reading the latest post in our “Clinical Reasoning Corner”, where we discuss key clinical reasoning principles that shape how we think through cases.

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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.

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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.

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Lipodermatosclerosis

Vascular Physician

Etiology: a chronic form of stasis dermatitis resulting from venous hypertension that causes increased capillary permeability and allows leakage of fibrinogen and erythrocytes into the dermis. Diagnosis: clinical, often seen with other symptoms of venous insufficiency including venous varicosities, pitting edema and hyperpigmentation.

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Peripheral Arterial Disease and Foot Wounds

Vascular Physician

· Ensure appropriate hypertension management and medication. A critical analysis of current treatment unmasks the clinical and economic costs of CLI. Recommend diets low in trans fats, saturated fats and cholesterol with plenty of fruits and vegetables. Referrals to nutritional programs or specialists can be beneficial. ·