Remove Blog Remove Diabetes Remove Diagnosis Remove Patients
article thumbnail

Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

Let’s practice with a case: You are called to admit a 72 year-old woman with hypertension, diabetes, and knee replacement seven days prior who presents with acute, pleuritic chest pain and dyspnea. we’re more likely to test for a “can’t miss” diagnosis even if our pretest probability is very low), the morbidity of the treatment (e.g.

Clinic 52
article thumbnail

Dr. Marsh Shares 3 Tips for Healthy Feet

Logansport Memorial Hospital

For example, numbness in your feet may be a sign of diabetes or swelling could indicate high blood pressure. In this blog article, Dr. Scott Marsh, our podiatrist here at Logansport Memorial, shares some tips to keep your feet healthy. Early detection and diagnosis can prevent significant issues, including surgery.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Problem Representation

The Clinical Problem Solvers

A problem representation (PR, or Summary Statement) is an evolving, concise summary that highlights the defining features of a case , helping clinicians generate a focused differential diagnosis and identify the next steps in diagnosis and treatment. Who is the patient? One day later the patient also develops a rash.

article thumbnail

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? Would I’ve been able to reason my way to his underlying diagnosis from the initial data? We walked down to the emergency room and reviewed his chart.

Illness 52
article thumbnail

Subclavian Steal Syndrome

Vascular Physician

Type I – Antegrade vertebral flow is reduced Type II – Antegrade flow during diastolic phase and retrograde flow during systolic phase Type III – Permanent retrograde vertebral flow Diagnosis Diagnosis can be made using imaging such as duplex ultrasound of the subclavian and vertebral arteries.

article thumbnail

“Antibiotic Failure” – Mike Rose

The Clinical Problem Solvers

– an approach to “Antibiotic Failure.” To make our learning stick, try to remember a patient encounter in which you asked, “why aren’t they getting better on antibiotics?” Why isn’t she getting better? Dx Issues: The first step in investigating potential “antibiotic failure” is to reevaluate our working diagnosis.

article thumbnail

Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And you wrote, actually, a beautiful GeriPal blog about it a while ago.

Illness 136