The Clinical Problem Solvers

FEBRUARY 9, 2020

Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! Thank you for reading the latest post in our “Clinical Reasoning Corner”, where we discuss key clinical reasoning principles that shape how we think through cases.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

Physician's Weekly

JUNE 17, 2025

Chenxiang Pan, from Wenzhou Central Hospital in Wenzhou City, China, and colleagues retrospectively identified 429 patients with EOC admitted to the hospital and randomly divided them into a modeling group and a validation group. The modeling group was classified into a DVT group and a non-DVT group.

Complication 52

Complication Hospital Clinic Patients 52

The Clinical Problem Solvers

APRIL 20, 2022

After college, she worked at UCSF as a clinical research coordinator and patient navigator for women newly diagnosed with breast cancer, helping them prepare questions for their doctor and accompanying them to appointments. “On On the morning of my last final, I went into cardiac arrest and was admitted to Moffitt Hospital,” she said.

Clinic 52

Clinic Internal Medicine Diagnose Education 52

Dr. Zaar

JUNE 1, 2025

Check credentials through reliable websites like: American Board of Internal Medicine (ABIM) American Association of Clinical Endocrinology (AACE) Don’t hesitate to ask the clinic or hospital about the doctor’s credentials. Are they familiar with managing complications like neuropathy or insulin resistance?

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Family Medicine Initiative

APRIL 9, 2024

Yes, one year after stopping the medication, patients regain ½ – ⅔ of their previous weight loss: What are other clinical benefits? Patients with heart failure show less hospital admissions improved symptoms (in correlation to their weight loss). Tirzepatide (15 mg) showed slightly more noticeable effects than Semaglutide (2.4

Diabetes 130

Diabetes Patients Medical Family Medicine 130

The Clinical Problem Solvers

MAY 6, 2020

Avital O’Glasser presents a clinical unknown on Virtual Morning Report to CPSolvers, Jack and Reza. She is the medical director of OHSU’s hospitalist-led Pre-Operative Medicine Clinic, as well as The Curbsiders Kashlek Memorial Hospital Chief of Perioperative Medicine.

Internal Medicine 52

Internal Medicine Complication Hospital Diagnosis 52

GeriPal

JANUARY 12, 2023

But if ACE units are so great, why do so few hospitals have them? Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line. Eric: And we’re going to be talking about improving hospital care for older adults via ACE units, or acute care for elders.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

The Clinical Problem Solvers

JUNE 29, 2020

Hannah Chen Hannah Chen is a second year internal medicine resident at the Brigham & Women’s Hospital. She has an interest in hospital medicine, nephrology, and health equity.  The clinical manifestations of hyperthyroidism can result from the thyrotoxic state itself (e.g.,

Internal Medicine 52

Internal Medicine Diagnosis Education Hospital 52

PEMBlog

JANUARY 21, 2025

Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

The Clinical Problem Solvers

APRIL 23, 2020

Logan Jones “Logan” Jones is a PGY-3 at OHSU in Portland, and will be joining the faculty as an assistant professor in the Division of Hospital Medicine with an academic focus on student assessment, curricular innovation, learner scholarship, clinical reasoning, and EMR proficiency.

Internal Medicine 52

Internal Medicine Education Complication Diagnose 52

BMJ

AUGUST 20, 2021

Donors, government ministries, agencies and academic partners regularly cascade requests for data that multiply and complicate the simple interaction into a complex, and often redundant, set of data requirements for the same singular interaction. Digital uptake is more prevalent in high-volume and urban hospital networks.

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Patient-Centered Clinic Provider Patients 40

PEMBlog

MARCH 4, 2025

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.

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Patient-Centered Diagnosis Complication Community 91

PEMBlog

MAY 1, 2025

In this episode, we tackle the clinical mischief of Parvovirus B19 , a common viral infection with a surprisingly wide range of manifestationsfrom the classic slapped cheek rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. UpToDate , Jun. link] Edwards, Morven S.

Complication 83

Complication Patient-Centered Patients Clinic 83

GeriPal

OCTOBER 13, 2022

We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). One of your articles addresses that.

Complication 97

Complication Patient-Centered IT Patients 97

The Medical Futurist

JUNE 21, 2025

In 2016, The Guardian reported that a blind woman suffering from this disease was fitted with the implant labelled “bionic eye” in the UK as part of a trial at the Oxford Eye Hospital. Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. That must have been truly amazing!

Diabetes 98

Diabetes Patient-Centered IT Patients 98

Physician's Weekly

JUNE 25, 2025

I’m the Vice Chairman of Rheumatology at the Cleveland Clinic and the co-director of the Center for Vasculitis Care and Research. And I’m here today to talk about giant cell arteritis in clinical practice. If there’s visual symptoms, patients are often hospitalized for high dose intravenous symptoms.

Management 59

Management Diagnosis Patient-Centered Patients 59

The Clinical Problem Solvers

MAY 14, 2020

The second major factor complicating our diagnostic reasoning during this time is the dramatic shift in prevalence of the disease in the community. The pretest probability is composed of the overall concordance of the clinical data with a specific illness script as well as the prevalence of that disease within the community.

Illness 52

Illness Diagnosis Emergency Room Diagnose 52

GeriPal

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

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IT Patient-Centered Hospital Individual 125

GeriPal

JANUARY 23, 2025

Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. And there’s so much work on, you know, you’ve got to take these medicines, you got to prevent this treat, that there isn’t that same sort of clinical momentum towards deprescribing. Ethical and practical.

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Specialization IT Patient-Centered Medical 120

33 Charts

OCTOBER 2, 2021

And as suggested recently in the New England Journal of Medicine , One of the most important factors at play in the clinical environment is the apparent tension between availability and attention. Some will convert their practice into a virtual clinic with late night pajama time ‘sessions’ while others will recognize the need for guardrails.

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Patients IT Provider Family Doctor 75

GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 120

Screening Primary Care Patient-Centered IT 120

PEMBlog

SEPTEMBER 24, 2024

It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. It depends on the clinical situation. I know this is like, we’re talking about math and so that makes it all a little complicated, but think about it this way.

IT 139

IT Patients Individual Relationship 139

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. Alex Smith: That’s a compelling clinical argument… Tamryn: It is.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Physician's Weekly

JUNE 12, 2025

Robotic-assisted surgery for oncology procedures improves outcomes over minimally invasive surgery and open surgery, reducing complications and mortality. Hospital stays with dV-RAS, however, were 0.51 The post Oncologic Robotic Surgery Reduces Complications & Readmissions first appeared on Physician's Weekly.

Complication 52

Complication Hospital Patients Clinic 52

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Physician's Weekly

JUNE 17, 2025

Researchers found that plasma biomarker sST2 independently predicts adverse clinical outcomes in diverse populations of patients with acute respiratory failure. The post Plasma Biomarker Predicts Adverse ARF Clinical Outcomes first appeared on Physician's Weekly. Study author Georgios D.

Clinic 52

Clinic Illness Patients Complication 52

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Proud Mary.

Hospital 126

Hospital IT Patient-Centered Patients 126

Physician's Weekly

JUNE 19, 2025

In addition, frailty was significantly associated with severe RSV outcomes , including more extended hospital stays and higher rates of ICU admission. Frail patients with RSV required significantly longer hospitalizations than their nonfrail counterparts,” the researchers noted.

Illness 52

Illness Hospital Patients Management 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Do you have a weak immune system (e.g.,

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Medical Xpress

JANUARY 18, 2023

Patients hospitalized with fractures typically receive an injectable blood thinner, low-molecular-weight heparin, to prevent life-threatening blood clots. A new clinical trial, however, found that inexpensive over-the-counter aspirin is just as effective.

Complication 98

Complication Patients Hospital Clinic 98

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People experiencing homelessness (PEH) and type 2 diabetes are hospitalized more often, develop diabetes complications, and die on average 10 years earlier than their housed peers due to poorly controlled chronic physical and behavioral health conditions.

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Diabetes Medical Complication Physicals 130

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

Medical Xpress

JUNE 16, 2025

The goal is to support clinical trials and bring in another $50 million in private investment to help ibogaine win approval from the U.S. The law directs Texas universities and hospitals to lead the research. Greg Abbott signed a bill last week approving $50 million in state funds for ibogaine research, The New York Times reported.

Mental Health 52

Mental Health IT Medical Specialization 52

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. Eric 00:59 Why did you choose this song?

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Patient-Centered Referral Patients IT 103

The Clinical Problem Solvers

APRIL 5, 2022

Dr. Margot Kushel is a Professor of Medicine and Division Chief at the Division of Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative. The Clinical Problem Solvers Podcast. April 5, 2022.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. It’s another article, another major article that has triggered the complicated UTI circuit. But what I did want to highlight is how we got to thinking about men that have UTIs have complicated UTIs.

Complication 52

Complication Patient-Centered IT Patients 52