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 86

Complication Patient-Centered Patients Clinic 86

PEMBlog

OCTOBER 26, 2023

The most common presentation in children under 5 years of age is rectal bleeding, which may be intermittent or massive. Other complications include obstruction due to intussusception or volvulus, leading to bowel ischemia and shock. It is characterized by a blind-ending true diverticulum that contains all the layers found in the ileum.

Diagnosis 64

Diagnosis Complication Consulting Management 64

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

Physician's Weekly

JUNE 11, 2025

If low bone density is present, it’s often treated alongside a weight loss program. These recommendations are ideals, and some participants may require workarounds. For example, if someone struggles to complete resistance training , wearing a weight vest on walks could be an alternative. Structured exercise programs can help in both regards.

Management 52

Management Primary Care Physicals Telehealth 52

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). Eric: Welcome to the GeriPal podcast.

Complication 97

Complication Patient-Centered IT Patients 97

FDA Law Blog

JANUARY 15, 2024

FDA said randomized clinical trials could be used, but so could observational studies with respect to cessation data. Koblitz — You know a court decision is going to be worth reading when the judges compare FDA’s regulatory governance of flavored e-cigarettes to a Shakespearean gaslighting.

Manufacturing 115

Manufacturing IT Provider ER 115

PEMBlog

SEPTEMBER 26, 2024

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. He required external cephalic version for breech presentation. This is the last of the four cases. No recent illnesses or any other symptoms.

Patient-Centered 59

Patient-Centered Routine Screenings Diagnosis Clinic 59

FDA Law Blog

AUGUST 11, 2024

Presenting only information about the benefits or efficacy of a prescription drug, like AUVI-Q, without any risk information is considered a false or misleading presentation under the Federal Food, Drug and Cosmetic Act (FDCA), and is considered misbranding of the product.

Clinic 59

Clinic Provider IT Complication 59

GeriPal

MAY 19, 2022

It depends on the clinical situation. Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . Oh boy, what should we do?

IT 139

IT Patients Individual Relationship 139

GeriPal

JUNE 20, 2024

George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways. Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. On our last podcast about urinary incontinence the song request was, “Let it go.” I do like that one.

IT 120

IT Patient-Centered Patients Clinic 120

Physician's Weekly

JUNE 11, 2025

CT Imagin g: CT is recommended at diagnosis if lymphadenopathy or splenomegaly is present, or if clinically indicated. Autoimmune Complications : Clinicians should consider guiding patients with autoimmune conditions toward regimens that include anti-CD20 monoclonal antibodies.

Management 52

Management Diagnosis Complication Screening 52

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. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 119

Screening Primary Care Patient-Centered IT 119

CDOCS

MAY 4, 2021

We need to recognize how clinical dentistry has become intertwined with digital technologies to synergistically assist us in providing enhanced diagnosis with safe and predictable treatment outcomes. & He presented with a high smile line and desired fixed natural appearing teeth.

Patient-Centered 52

Patient-Centered Patients Manufacturing Provider 52

FDA Law Blog

JULY 10, 2023

We will then present an effective strategy to address FDA’s AI request in a timely manner. However, the strategy of addressing the AI request presented in the next section of this blog post applies to all three types of 510(k)s. By Philip Won & Adrienne R. But that is only the beginning. FDA aims to make the MDUFA Decision (i.e.,

Provider 75

Provider IT Engineering Medical 75

PEMBlog

SEPTEMBER 24, 2024

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. He initially presented to his pediatrician two months prior with 10 days of cough and unexplained fevers. This is the second of the four cases.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

PEMBlog

SEPTEMBER 25, 2024

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. Three days prior to presentation, the parents noted clear drainage from the right eye. This is the third of the four cases. Accessed June 18, 2024.

Patient-Centered 52

Patient-Centered Diagnosis Management Patients 52

GeriPal

MAY 11, 2023

And because we can’t resist, we dip into aducanumab and lecanemab at the end. AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast. Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Kristine: Yeah, yeah, yeah.

Physicals 85

Physicals IT Hypertension Education 85

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. And the presentation for GERD varies by age.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

FDA Law Blog

FEBRUARY 28, 2023

if a user answers no to a device being sterile, the sterility sections does not present for population), a user may not know answers to all of the questions when they want to start preparing the information and/or they may miss a section depending on how they answer. There are two forms: one for non-IVD devices and one for IVD devices.

Provider 52

Provider Electronics IT Complication 52

Mesa Family Physician

MARCH 13, 2025

During your comprehensive check-up at our Mesa clinic, our board-certified physicians will not only assess your current health status but also help you understand your risk factors for various conditions based on your family history, lifestyle, and previous medical records.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

JUNE 27, 2024

Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency. Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

Rao Doctor

APRIL 3, 2025

Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. Using these methods can reduce temperature discomfort and minimize complications.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

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. Results: We found high acceptability on the CSQ-8 with a mean of 30.5 (SD

Diabetes 130

Diabetes Medical Complication Physicals 130

GeriPal

NOVEMBER 14, 2024

You know, if you want to think about the problem, think about clinical research. And the big things that we think about as far as complications, so there, obviously the thing that comes to everybody’s mind is like fractures. Sarah 00:37 Ooh, how about Free Fall in’? Alex 00:41 Free Fall in’? Eric 00:57 Subdued. Eric 03:49 Great.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered Patients IT Clinic 109

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. Alex: Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved. Eric: Welcome to the GeriPal podcast.

Complication 52

Complication Patient-Centered IT Patients 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

Together, our guests explore and unpack how the criminalization and racialization of substance use builds to the present-day opioid epidemic and shapes inequities in care. One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ?

Patient-Centered 96

Patient-Centered IT Patients Board-Certified 96

GeriPal

MARCH 28, 2024

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. I’m just stunned even writing that! We’ve come so far as a field. This is Eric Widera. Alex: This is Alex Smith. Kate: Thank you.

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. Justin, welcome to GeriPal. Justin: Hello. Eric: Okay.

IT 128

IT Families Family Patient-Centered 128

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is.

Families 102

Families Family IT Diagnosis 102

GeriPal

NOVEMBER 21, 2024

Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a particular time or situation? Amanda, welcome to GeriPal.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Complicated grief? Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Did they have PTSD? Depression? Sarah: It is. And I love Gladys Knight.

Community 95

Community IT Patient-Centered Primary Care 95