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Subclavian Steal Syndrome

Vascular Physician

Medications to use include controlling dyslipidemia, hypertension, and diabetes along with antiplatelet therapy. Patients with burdensome symptoms and occlusive disease can be managed by a vascular surgeon, either with open surgery or percutaneously.

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Proactive Wellness: The Lifesaving Benefits of Regular Check-ups 

East Cary Family Physicians

In this blog, we will explore the significance of regular health check-ups and how they contribute to your overall well-being. Many health conditions, such as hypertension, diabetes, and certain cancers, can develop with little to no noticeable symptoms in their initial stages. What are Regular Health Check-ups?

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Problem Representation

The Clinical Problem Solvers

Who is the patient? Also: Exclude extraneous information – Example: In a patient presenting with fever, cough, and shortness of breath, their history of chronic knee osteoarthritis does not belong in the PR. One day later the patient also develops a rash. It can and should evolve as you gather new information.

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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.

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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. A positive D-dimer in a low risk patient may not sway our pretest probability enough to warrant a CTPA. More practice?

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Peripheral Arterial Disease and Foot Wounds

Vascular Physician

Peripheral Arterial Disease and Foot Wounds By Lauren Molchan, DPM R2 When do you suspect PAD in patients with wounds? · · Past medical history indicators of PAD include: history of smoking, age 65 or greater, diabetes history, CAD or stroke, or history of renal, carotid or mesenteric ischemia. . ·

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How to Prevent a Potentially Fatal Aortic Dissection

Vascular Physician

How to Prevent a Potentially Fatal Aortic Dissection High blood pressure is a well-known medical condition that many people understand is a risk factor for heart attacks, strokes, and diabetes. Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient.

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