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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). A CXR showed a left upper lobe consolidation, and he was treated with antibiotics for presumed community-acquired pneumonia. Welcome back, Clinical Problem Solvers! A CT Chest showed multifocal cavitary lung nodules.

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

times more likely to develop urinary or sexual complications, 2.78 Time spent diagnosing, monitoring, and treating asymptomatic prostate cancer in men with limited life expectancy distracts from monitoring and treating their symptomatic life-limiting illnesses.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

An essential part of the diagnostic process involves creating a problem representation (PR) and then trying to match that PR to a specific illness script. But, this requires an adequate understanding of the syndrome and having well-defined illness scripts. Part of the problem is that we are still figuring out this illness.

Illness 52
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Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle

GeriPal

As I’ve been blogging about this for a couple months now, I’m really trying to find anyone who loves these things. And really, the best that had ever been looked at, especially in our population and sort of a cancer serious illness population. Drew: I’ve published a draft version of it on the blog.

IT 139
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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 swallowing is complicated, right? Raele: I do.

IT 124
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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. Remember, our community pediatricians, family medicine doctors, are brilliant. I’ll take an email, a comment on the blog, a direct message on X or another social media platform. They can handle this problem.

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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144