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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

For our first post, we are going to talk about two concepts that help us decide whether we treat, test for, or toss specific diagnoses (i.e., 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.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. 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.

Illness 52
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Objectives Define likelihood ratios and their utility in diagnostic reasoning Identify how likelihood ratios alter the probability of a diagnosis Apply likelihood ratios in clinical reasoning What are likelihood ratios and how do they work? A LR > 1 increases the probability of a specific diagnosis.

Clinic 52
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Renal Artery Stenosis: Is It Common & Life Threatening?

Vascular Physician

Other factors that could make you more likely to be affected by RAS include: High blood pressure High cholesterol Diabetes Smoking Unhealthy diet Men over the age of 45 and women over the age of 55 Obesity What Are the Symptoms, Diagnosis, and Complications? In most cases, RAS does not exhibit any noticeable signs or symptoms.

IT 52
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Leriche Syndrome

Vascular Physician

To diagnose this condition, your physician may perform screening tests, such as an ankle-brachial index test (ABI). In fact, sexual dysfunction is so often associated with Leriche Syndrome that the absence of this symptom suggests that another diagnosis should be considered. An ABI less than 0.9 What are the treatment options?

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

GeriPal

And you wrote, actually, a beautiful GeriPal blog about it a while ago. Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. What is it called?

Illness 137
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Whoop! There It Is: A Pertinent Pediatric Pertussis Podcast

PEMBlog

Pertussis infection in infants and children: Clinical features and diagnosis. In this episode, we’ll go over clinical presentation, diagnosis management, infection control, and post exposure protocols. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension.

IT 52