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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.

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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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Lipodermatosclerosis

Vascular Physician

Etiology: a chronic form of stasis dermatitis resulting from venous hypertension that causes increased capillary permeability and allows leakage of fibrinogen and erythrocytes into the dermis. Diagnosis: clinical, often seen with other symptoms of venous insufficiency including venous varicosities, pitting edema and hyperpigmentation.

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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

In fact, sexual dysfunction is so often associated with Leriche Syndrome that the absence of this symptom suggests that another diagnosis should be considered. Atherosclerosis is potentiated by hypertension, smoking, lower physical activity, obesity, a diet high in saturated fats, and high glucose or lipid levels.

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Popliteal Artery Aneurysms

Vascular Physician

Consequently, screening for additional aneurysms upon diagnosis is highly recommended. Risk factors associated with PAA include: - smoking - male sex - hypertension - increased age - high cholesterol Potential Complications: As noted above, complications of PAA can be severe.

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

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. And you wrote, actually, a beautiful GeriPal blog about it a while ago. Jessie: Thank you.

Illness 136