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Understanding components of Maternal Diet among those diagnosed with Gestational Diabetes and/or Hypertension in Flint, MI [Community based participatory research]

Annals of Family Medicine

Context: Gestational Diabetes Mellitus (GDM) and Gestational Hypertension (GHTN), each linked to poor maternal and infant health outcomes, affect an average of 5-10% of US pregnancies. Participants were recruited from two clinics in Flint, Michigan, a low-income urban community facing numerous health disparities. Results: 16.5%

Diagnose 130
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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

Welcome, Clinical Problem Solvers, to our first post in the “Clinical Reasoning Corner,” where we will take a deeper dive into key concepts that shape how we think through cases. The “Clinical Reasoning Corner” will provide an introduction to the topics that keep our reasoning rooted in the core principles of clinical problem solving.

Clinic 52
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Problem Representation

The Clinical Problem Solvers

Clinical Reasoning Corner: Problem Representation By: Marcela A. de Oliveira Santana and Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers! The problem representation during the clinical reasoning process The PR is linked to hypothesis-generation and can act as a guide during the diagnostic journey.

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Subclavian Steal Syndrome

Vascular Physician

Type I – Antegrade vertebral flow is reduced Type II – Antegrade flow during diastolic phase and retrograde flow during systolic phase Type III – Permanent retrograde vertebral flow Diagnosis Diagnosis can be made using imaging such as duplex ultrasound of the subclavian and vertebral arteries.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. 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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Prevention of Dementia: Kristine Yaffe

GeriPal

There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. One might argue they still are.

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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. Katie, welcome back to GeriPal. Why would that be?

Illness 136