PEMBlog

SEPTEMBER 20, 2023

Constipation is a clinical diagnosis and does not require testing, yet as many as 70% of children who are given a diagnosis of constipation in the emergency department have an abdominal x-ray completed. The diagnosis of constipation should be made based on a good history and clinical exam.

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Diagnosis Diagnose Hospital Clinic 122

Physician's Weekly

JUNE 17, 2025

As autism diagnoses increase, especially in marginalized groups, experts call for better funding, research inclusion, service access, and workforce diversity. Funding issues are primarily due to state mandates that insurance companies are required to reimburse autism-related healthcare costs. Black participants: 7.7%

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Board-Certified Behavioral Health Services Diagnose Referral 52

Myriad Genetics

APRIL 15, 2024

Typically, the way to diagnose 22q prenatally is through chorionic villus sampling or an amniocentesis. 5 Clear Benefits for Healthcare Providers and Patients The benefits to a high PPV are, well, myriad. Mayo Clinic. Prenatal Diagnosis. Prenatal diagnosis of the 22q11.2 Such is the case with the 22q11.2

Screening 52

Screening Patient-Centered Diagnosis Healthcare 52

The Medical Futurist

JUNE 21, 2025

Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. It greatly helps physicians in remote areas such as Sub-Saharan Africa diagnose and treat patients. Compared to other parts of the body, the eye is easy to access for surgery, readily accepts new tissue and can be noninvasively monitored.

Diabetes 105

Diabetes Patient-Centered IT Patients 105

Vida Family Medicine

JUNE 28, 2024

The healthcare system in the US is not well-designed for the kind of care that is required to get to the bottom of these symptoms. I absolutely do not blame patients for seeking answers wherever they can, especially when the healthcare system has failed them. Bring a list of all of the medications (even over the counter!)

Patients 52

Patients Primary Care Appointment Diagnose 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

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 119

Screening Primary Care Patient-Centered IT 119

PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). This is the second of the four cases. Aspirated foreign body B. Lymphoma D.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. I think there’s maybe a little bit of debate as to when those turn from being just normal age related changes to then being something more, but it happens in many different areas of healthcare. Eric: Lovely.

Hospital 124

Hospital IT Patient-Centered Individual 124

PEMBlog

MAY 20, 2025

(Blooms: Apply; Kirkpatrick Level 2 Learning) Evaluate the risks and benefits of ultrasound, CT, and MRI for common pediatric emergencies and identify appropriate imaging modalities based on clinical guidelines discussed in the podcast. Nobody wants to miss an appendicitis. Nobody wants to miss a head bleed, right?

Families 101

Families Family Hospital Patient-Centered 101

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). Alex: We have a very full house today.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JUNE 20, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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IT Patient-Centered Patients Clinic 120

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Acute onset psychosis is relatively rare. Health Aff (Millwood).

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Lab Testing Medical Patients Mental Health 52

GeriPal

DECEMBER 2, 2022

At the end of the program, he was walking down the hall, you probably don’t remember this, but a woman I know who you had diagnosed with some type of Alzheimer’s went running after him down the hall. And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

NOVEMBER 9, 2023

We make a diagnosis. But oftentimes, a therapist has deeper training and really history of trauma and specific diagnoses, versus a coach may be a little bit more future-focused and really works with people, regardless of whether they’re having any diagnosable challenge at the moment. It’s so different from therapy.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

Rao Doctor

APRIL 3, 2025

In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Understanding the patient’s medical history is crucial for an accurate diagnosis.

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Diagnosis Management Illness Diagnose 130

The Medical Futurist

JUNE 21, 2025

Their success is understandable : they offer a fast and easy method to check any skin conditions, typically for a fraction of the cost of a traditional healthcare appointment. It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

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? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. How do you choose the right clinic when every option seems equally promising?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

MAY 11, 2023

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.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

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Primary Care Diagnosis Screening IT 95

GeriPal

JUNE 27, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 129

Illness IT Diagnosis Patient-Centered 129

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Patients are in a very vulnerable state when they enter the healthcare setting.

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Mental Health Healthcare Professional Community Healthcare 114

GeriPal

JANUARY 18, 2024

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. AMA PRA Category 1 credit(s) ™. Who do we have with us today? Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

Myriad Genetics

NOVEMBER 25, 2024

November is Family Health History Month, an observance dedicated to sharing crucial health information within families and encouraging individuals to take proactive steps in their healthcare. Shortly after her breast cancer diagnosis, Kathy became involved in patient advocacy – even before she knew of her own genetic predisposition to cancer.

Family 52

Family Families Screening Individual 52

GeriPal

SEPTEMBER 1, 2022

When you think about leadership and we think about health care, we still live in a healthcare system that has a hierarchy. And so there are different levels of power within our healthcare system. Jennifer Temel study did not have a social worker as part of the clinical team. So … Barbara: Yeah. And I love that podcast.

IT 102

IT Families Family Clinic 102

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. Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.”

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Families Family IT Diagnosis 102

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.

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ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. By diagnosis? Kate: Sure.

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Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JUNE 15, 2023

Rethinking Automation and Inequity in Healthcare [link] [link] [link] MD Calc approach to inclusion of race [link] —— Transcript Eric: Welcome to the GeriPal podcast. Because I think in the near future they will be able to take audio recordings and conversations and make clinical notes that then the clinician can edit.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. So no differences between the modalities.

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Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

APRIL 14, 2022

This is both a research and a clinical interest of yours. But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

AUGUST 17, 2023

Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA approval process that was in the kindest words “rife with irregularities”. That was an FDA decision.

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Patient-Centered IT Clinic Patients 98

GeriPal

OCTOBER 17, 2024

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. Eric 12:05 Any pearls on the diagnosis of HFpEF. Is your impression that HFpEFde is under diagnosed in older adults? Yes, over diagnosed in older adults are about right.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is a clinical intervention.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. But really those urinary tract signs and symptoms should be driving your diagnosis.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 19, 2025

And I feel like a lot of this is really, you know, moving away from another podcast we did is industrialization of healthcare and really focusing on the individual that’s in front of you. But you know, the clinical piece, I think it starts out with collecting sexual orientation, gender identity in your databases.

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Individual Community IT Chronic Condition 85