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Lower Extremity Bypass for Peripheral Artery Disease – Indications and What to Expect

Vascular Physician

Other more complicated cases may require open interventions such as endarterectomy and/or bypass. While bypass surgery is a "real" operation, in many cases it can solve the patients problem for many years or forever, compared to angioplasty and stenting which may need to be repeated frequently to keep the blood flow open.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? The patient I saw with atrial fibrillation and RVR likely wouldn’t even have merited testing in early March, yet he clearly had the disease in mid April.

Illness 52
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Likelihood ratios (LRs), which help us determine how a test changes the probability of a disease, are defined as: For example, say 60% of patients with aortic stenosis have a systolic ejection murmur best heard over the aortic valve area, and only 10% of patients without aortic stenosis have that same murmur.

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How to Prevent a Potentially Fatal Aortic Dissection

Vascular Physician

Understanding High Blood Pressure High blood pressure, or hypertension, is a common medical condition in which blood pressure flows through the arteries with a force that is consistently higher than normal. Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient.

ER 52
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Leriche Syndrome

Vascular Physician

Patients with arterial blockage may have no symptoms. However, the most common symptoms for patients with Leriche Syndrome include hip, thigh, and buttock claudication which may be on both sides. Treatment is patient-specific and based on age, health, and severity. An ABI less than 0.9 What are the symptoms?

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Popliteal Artery Aneurysms

Vascular Physician

Patient Presentation: The onset for PAA is typically insidious and asymptomatic. Occasionally patients will report unilateral pain in the lower leg on ambulation similar to peripheral arterial disease. Note: presence of these signs could be indicative of a medical emergency and patient should be advised to seek help right away.)

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8 Reasons Why Family Physicians are the Actual Stars of Medicine

Family Medicine Initiative

Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. 11 , 13 Over time, GPs come to know their patients well. Over time, GPs put their patients into context.