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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

As many as 40% of these children will receive a chest x-ray (CXR) during their ED visit despite clinical guidelines advising most of these tests are low value. Understanding root causes of CXR use in the ED clinical setting is key to mitigating overuse of this test.

Asthma 52
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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion.

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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals.

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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. Here at UW Health, we call it our Swallow Service. We actually have even subspecialization, which is kind of fun. Eric: Fancy. Raele: Yeah, it’s beautiful, colorful images. Raele: Yes.

IT 124
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Anxiety in Late Life and Serious Illness: A Podcast with Alex Gamble and Brianna Williamson

GeriPal

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. The question I would ask is, how helpful is that in our clinical practice? If they’ve said they had a traumatic experience receiving a diagnosis. But before we do, we always have a song request.

Illness 129
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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. Who do we have with us today? I look forward to your findings of your study. Devon: Thanks so much.

Illness 136
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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.