The Clinical Problem Solvers

FEBRUARY 9, 2020

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. x 10 9 cells/L, Hgb 9.7

Clinic 52

Clinic Diagnosis Hypertension Patients 52

PEMBlog

SEPTEMBER 6, 2023

This is a blog post 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.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

Vascular Physician

FEBRUARY 14, 2024

If you have arterial disease, please consult your physician before using compression therapy, as this may be contraindicated for some patients. At the Vascular Institute of the Rockies, we have an experienced medical team that is well equipped to diagnose and treat venous disorders. Can compression therapy be used during pregnancy?

Healthcare Professional 52

Healthcare Professional Consulting Treatment Plan Healthcare 52

GeriPal

MARCH 14, 2024

This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. 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.

IT 124

IT Hospital Patient-Centered Individual 124

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Gastroesophageal reflux disease is when the patients have severe symptoms that persist and cause long term issues.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Rao Doctor

APRIL 3, 2025

One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. Rectal method is more appropriate for infants, children and unconscious or comatose patients who are not able to hold the thermometer in their mouth. Fever is a common indication that the body is fighting off infection.

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Diagnosis Management Illness Diagnose 130

Noreta Family Medicine

APRIL 17, 2024

Therefore, family physicians are trained to do minor surgical procedures in the office, care for kids and adults, provide various GYN services, among many other comprehensive services for patients. I love family medicine because as family physicians, we can be trained to provide care for patients in many different settings.

Primary Care 52

Primary Care Board-Certified GP Family Medicine 52

Vascular Physician

FEBRUARY 13, 2022

It is very important to treat acute limb ischemia as soon as possible, so patients who believe they have acute limb ischemia should be evaluated emergently by a vascular specialist. Most patients will be treated with a combination of surgery and medications (such as heparin, a blood thinner). Every minute matters!

Diagnosis 40

Diagnosis Individual Medical Patients 40

PEMBlog

DECEMBER 14, 2023

Tracheomalacia and bronchomalacia in children: incidence and patient characteristics. But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically. The best way to diagnose this is through imaging like CT scans. Otolaryngol Head Neck Surg.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

PEMBlog

MARCH 27, 2024

After doing her MD PhD at Columbia University, where she investigated the genetic diagnosis of kidney disease, she started her residency training with the long term goal of being a physician scientist caring for patients with rare genetic disorders. You won’t be able to diagnose them on history and physical alone.

Consulting 59

Consulting Individual Families Family 59

GeriPal

SEPTEMBER 22, 2022

Have you ever had that moment when talking to a patient, when you realized that the phrase you just uttered, which you’ve uttered a hundred times before, came out rote and scripted? And in response, the family or patient looked at you like you were from another planet? How can I get the patient to make a decision? Josh: Mm-hmm.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. In one room the physician under study interacts with a white patient-actor, and in another room interacts with a Black patient-actor.

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Patient-Centered Patients IT Healthcare 111

PEMBlog

JUNE 5, 2024

Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. And we need to suspect cervical spine injuries in any patient with multisystem blunt force trauma.

Patient-Centered 52

Patient-Centered Patients IT Hospital 52

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. And importantly the patient has to have capacity and they have to be able to take the drug themselves. So being well and also potentially periods of dying.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. This is Eric Widera. Jennifer 04:25 I can take that on.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

Pamela Wible MD

JUNE 19, 2025

In order to heal her patients she first had to heal her ailing profession. And this is a medical system that needs to be disrupted because our medical system (as you know) is endangering the lives of patients right now—and physicians. I give you Dr. Pamela Wible. Born into a family of physicians who warned her not to pursue medicine.

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Clinic Nurse Practitioner IT Medical 246