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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

The second major factor complicating our diagnostic reasoning during this time is the dramatic shift in prevalence of the disease in the community. 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.

Illness 52
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

With the help of the #MedTwitter community, we have started a list of helpful LRs at the bottom of this article that we hope serves as a foundation for you to build on! On hospital day #2, peritoneal fluid cultures returned positive for E. Furthermore, creating a list of the LRs for useful diagnostic tests in common diseases (e.g.,

Clinic 52
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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. But estimates in community dwelling older adults are around 15%. Eric: And why is it more common in hospitalized adults?

IT 124
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Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle

GeriPal

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. As I’ve been blogging about this for a couple months now, I’m really trying to find anyone who loves these things. Well, yeah, Dr. McPherson, aside.

IT 139
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Storytelling in Medicine: A Podcast with Liz Salmi, Anne Kelly, and Preeti Malani

GeriPal

I started blogging as a patient, just talking about my own story online like patients did back in the day. Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood.

IT 96
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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

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8 Reasons Why Family Physicians are the Actual Stars of Medicine

Family Medicine Initiative

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. Over time, communication improves. Over time, more trust develops.