The Clinical Problem Solvers

SEPTEMBER 28, 2019

If you’re anything like me, you’ve probably found yourself asking that question after listening to a discussant on the podcast arrive at some unexpected diagnosis, only to have the biopsy or lab test prove them right. These clinicians recount rigorous efforts directed towards improving their knowledge and clinical skills.

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Lab Testing Clinic Education Clinical Practice 52

PEMBlog

SEPTEMBER 6, 2023

When should the emergency physician obtain lab tests to medically clear such patients? They carry existing diagnoses and are followed by outpatient mental health providers. There is abundant evidence showing that routine lab tests in such patients have a very low yield and are not indicated, in adults as well as in children.

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Lab Testing Medical Patients Mental Health 52

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 96

PEMBlog

JUNE 2, 2025

Clinical Case You are a senior resident working in the busy emergency department on an overnight shift. Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. All kids with hypertensive emergency need ICU-level care.

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Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 9, 2023

Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice.

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Patient-Centered Patients IT Healthcare 111

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. We have better tools to better phenotype pain.

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Patient-Centered Physicals IT Patients 106