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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

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? 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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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? He reports 3 days of headache, myalgia, and fever.

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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). However, the patient continued to be symptomatic and he returned for further evaluation. A lung biopsy demonstrated necrotizing granulomatous inflammation, and a diagnosis of GPA was made. Welcome back, Clinical Problem Solvers!

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Active surveillance is a management strategy that is intended to limit overtreatment of localized prostate cancer by monitoring patients with periodic PSA measurements and prostate biopsies to delay or avoid curative therapy (radical prostatectomy or radiation therapy) and its adverse effects. and 6.1%, respectively). in 2000 to 59.8%

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

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.

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You don’t need labs to medically clear a psych patient

PEMBlog

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.

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A Long Time Coming: DEA Regs Finally Authorize Schedule II Prescription Partial Fills

FDA Law Blog

CARA amended the Controlled Substances Act (“CSA”) to enable physicians or patients to request pharmacists to partially fill prescriptions for schedule II substances including opioids and to allow remaining quantities to be filled up to 30 days after issuance of the prescription (up to 72 hours for emergency oral prescriptions). 21 U.S.C. §