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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

Would I’ve been able to reason my way to his underlying diagnosis from the initial data? I find it awe-inspiring to listen to clinicians pick up on subtle clues and use both intuitive and analytic reasoning to reach a final diagnosis. Part of the problem is that we are still figuring out this illness.

Illness 52
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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. A lung biopsy demonstrated necrotizing granulomatous inflammation, and a diagnosis of GPA was made.

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

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. Also, limited life expectancy increases the likelihood of complications from most procedures, including radiation therapy.

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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

This is a blog post and a podcast episode 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.

Asthma 52
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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical.

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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%. I think someone has a song request for Alex. Raele: I do.

IT 124
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Normalcy, Introspection, & the Experience of Serious Illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart

GeriPal

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 128