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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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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. In a patient with a low pretest probability, a negative D-dimer significantly decreases the probability of a PE, and effectively rules it out.

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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.

Illness 52
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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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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

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.

Clinic 52
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Lower Extremity Bypass for Peripheral Artery Disease – Indications and What to Expect

Vascular Physician

While bypass surgery is a "real" operation, in many cases it can solve the patients problem for many years or forever, compared to angioplasty and stenting which may need to be repeated frequently to keep the blood flow open. Patients with peripheral artery disease often have a history of limb claudication, which refers to pain with exertion.

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Common Myths about Varicose Veins

Vascular Physician

blog h2 { margin-top: 1.25rem; } Varicose veins are quite common and often lead to pain, embarrassment and possibly further health issues. Reducing salt intake since a high salt diet may lead to hypertension or narrowing of arteries. Patients may feel a mild discomfort during the procedure. Multiple sessions may be required.