The Clinical Problem Solvers

OCTOBER 23, 2019

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.

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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. To do that, we need to rely on LRs.

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Clinic Diagnosis Hypertension Patients 52

Physician's Weekly

JUNE 22, 2025

Contrast-enhanced dual-energy CT improves diagnosis and guided management of suspected inflammatory arthritis of the hand. A follow-up survey rated CE-DECT’s diagnostic usefulness and influence patient management on a 1-to-10 scale. Descriptive statistics were used for analysis. The results showed that 136 patients were analyzed.

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Patient-Centered Diagnosis Management Utilities 52

Physician's Weekly

JUNE 17, 2025

An expert panel recently sought to establish objective criteria for diagnosing and treating obesity, aiming to support clinicians and guide public health strategies. To confirm excess adiposity, clinicians should directly measure body fat or evaluate patients for at least one anthropometric criterion in addition to BMI.

Healthcare Professional 52

Healthcare Professional Clinic Diagnose Diagnosis 52

The Medical Futurist

JUNE 17, 2025

Just like in the case of other medical specialties , disruptive innovations will have a huge impact on how dentistry will be practiced and how patients will take care of themselves in the future. For dentists, it’s transforming diagnosis, decision-making, and treatment planning. How about having a teledentist consultation?

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Patients Treatment Plan Healthcare Medical Specialty 126

Physician's Weekly

JUNE 25, 2025

Leonard Calabrese, DO, Paras Karmacharya, MD, MS, and Adam Kilian, MD, break down why giant cell arteritis (GCA) demands immediate action, explain how to confirm diagnosis quickly, and what same-day treatment options like upadacitinib (Rinvoq) mean for patient care. Video Transcript: Hi, this is Dr. Len Calabrese. Hello everyone.

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Management Diagnosis Patient-Centered Patients 59

Medical Xpress

FEBRUARY 2, 2023

Pre-existing dementia complicates cancer care and increases the risk of worse clinical outcomes and inferior patient experience, according to a review of studies exploring the intersection of dementia and cancer.

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Complication Clinic Patients Diagnosis 73

Physician's Weekly

JUNE 18, 2025

AI-powered screening shows promise for improving early detection of tardive dyskinesia, highlighting its potential to ease the clinical workforce burden. Early detection of [tardive dyskinesia (TD)] allows the deployment of effective interventions to mitigate morbidity,” researchers wrote in The Journal of Clinical Psychiatry.

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Screening Diagnose Patients Diagnosis 52

PEMBlog

SEPTEMBER 20, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

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Diagnosis Diagnose Hospital Clinic 122

Medical Xpress

MARCH 13, 2023

A new clinical review published in CMAJ (Canadian Medical Association Journal) provides an overview of the causes, diagnosis and management of endometriosis based on the latest evidence, to help clinicians and patients.

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Management Diagnose Diagnosis Clinic 89

The Direct Doctors Difference

AUGUST 9, 2023

Well that is great as long as you already have your diagnosis figured out! You would not be isolated to one single problem type and you wouldn’t be required to arrive with your diagnosis already in hand. With Direct Doctors, as long as you are a patient member (which we hope is for your lifetime!),

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Primary Care Clinic Diagnosis PCP 52

Vida Family Medicine

JUNE 28, 2024

One of the most rewarding parts of being a primary care physician is when I am able to work with a patient to help them find answers to unexplained symptoms they have been dealing with, sometimes for years! As a result, doctors often end up referring the patient somewhere else if they do not immediately know the answer.

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Patients Primary Care Appointment Diagnose 52

CDOCS

AUGUST 19, 2021

<p><span style="font-size:14px;"><em>Author: Devan Letemendia​</em></span></p> <p><span style="font-size:14px;">Excellence in diagnosis and treatment planning begins with imaging. No wonder it&rsquo;s loved by both patients and clinicians everywhere!</span></p>

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Patients Diagnosis Treatment Plan Clinic 52

Common Sense Family Doctor

DECEMBER 14, 2024

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Watchful waiting refers to clinical observation only. A recent analysis of the U.S.

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Routine Screenings Screening Complication Diagnose 52

The Clinical Problem Solvers

MAY 4, 2020

Ultimately, anti-nuclear, anti-dsDNA, and anti-Sm autoantibodies were grossly positive and the patient was diagnosed with systemic lupus erythematosus. SLE is a recognized cause of secondary thrombotic thrombocytopenic purpura (TTP), which may present concurrently with or, in some instances, precede the diagnosis of SLE.

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Referral Patient-Centered Diagnose Diagnosis 52

Common Sense Family Doctor

MAY 1, 2025

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnose 52

The Clinical Problem Solvers

MAY 14, 2020

Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? 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

Illness Diagnosis Emergency Room Diagnose 52

Physician's Weekly

JUNE 17, 2025

Patients with this condition experience “symmetric distal degeneration of peripheral nerves and impaired nerve regeneration,” according to the study authors. Traditional DPN Screening Methods Diagnosing and treating DPN has traditionally been a multi-step process. The other 111 participants were part of the healthy control group.

Diabetes 52

Diabetes Patient-Centered Screening Utilities 52

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. Some specific activities mentioned by the participants included patient-directed reading (e.g.,

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Lab Testing Clinic Education Clinical Practice 52

The Medical Futurist

JUNE 21, 2025

The California-based firm, Second Sight , the German company, Retina Implant AG, and the French venture, Pixium Vision were the forerunners of the field, developing implantable visual prosthetics to restore vision to patients who are blind as a result of the rare condition of retinitis pigmentosa.

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Diabetes Patient-Centered IT Patients 98

The Medical Futurist

JUNE 21, 2025

Large language models will soon find their way in to everyday clinical settings , simply because the global shortage of healthcare personnel is becoming dire and AI will lend a hand with tasks that do not require skilled medical professionals. ” M-LLM (Translating for Patient): “¿Puede señalar dónde le duele?”

Healthcare 53

Healthcare Healthcare Professional Electronics Medical 53

Vascular Physician

FEBRUARY 13, 2022

Symptoms usually present in the evenings when the patient is lying down to sleep or during other periods of rest. Sleep partners may report leg movements while the patient is asleep. Transient symptomatic improvement can be achieved by walking, stretching, massage, or by applying heat or cold presses.

Clinic 52

Clinic Medical Diagnose Diagnosis 52

Physician's Weekly

JUNE 17, 2025

I’ve been with Johnson & Johnson for nearly 10 years, and prior to that was part of a clinical academic practice in the Philadelphia area and still continue to provide on a voluntary basis patient care. About 30% of psoriasis patients will go on to have active psoriatic arthritis. It presents in different ways.

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Diagnosis Patients Provider Physicals 52

The Clinical Problem Solvers

APRIL 19, 2020

He wishes to thank Dr. Juan Lessing for his amazing mentorship and inspiring his interest in clinical reasoning – and introducing him to Rabih and Reza! He is also a Section Editor for adult medicine cases at the Human Diagnosis Project. calcium carbonate).

Internal Medicine 52

Internal Medicine Medical Student Patient-Centered Primary Care 52

Myriad Genetics

APRIL 15, 2024

Typically, the way to diagnose 22q prenatally is through chorionic villus sampling or an amniocentesis. 4 In a recent presentation, Dale Muzzey, PhD, Chief Scientific Officer at Myriad, summarized the findings this way: “We followed up with providers regarding their patients who screened positive for 22q. Mayo Clinic.

Screening 52

Screening Patient-Centered Diagnosis Healthcare 52

Physicians Alliance of Connecticut

MARCH 5, 2025

If you’ve been diagnosed with an endocrine disorder, like diabetes or an underactive thyroid, or have symptoms that you worry are caused by a hormone imbalance, you may be considering seeing an endocrinologist. Endocrinologists are doctors who specialize in diagnosing and treating endocrine system disorders. What is an Endocrinologist?

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

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.

Patient-Centered 91

Patient-Centered Diagnosis Complication Community 91

PEMBlog

OCTOBER 17, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone. Patients often describe a sensation of burning or stinging pain rather than itching.

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Diagnose Diagnosis Clinic Patients 69

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.

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Complication Patient-Centered Patients Clinic 83

PEMBlog

SEPTEMBER 27, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. isolation for SARS-CoV-2).

Patients 52

Patients Illness Hospital Management 52

PEMBlog

SEPTEMBER 6, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

PEMBlog

OCTOBER 26, 2023

“Clinically, Meckel diverticulum should be suspected in any child younger than 2 years of age with painless rectal bleeding. STAT Pearls, 2023 Wrap Up Meckel diverticulum is a congenital anomaly of the small intestine that can present with various clinical manifestations, including rectal bleeding and obstruction. .”

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Diagnosis Complication Consulting Management 64

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.

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Screening Primary Care Patient-Centered IT 120

GeriPal

MARCH 14, 2024

This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. And I think that we’re at this kind of crossroads right now in dysphagia, and dysphagia management where our patients are suffering. We revisit it, and make things better for our patients.

IT 125

IT Patient-Centered Hospital Individual 125

The Clinical Problem Solvers

DECEMBER 3, 2019

To make our learning stick, try to remember a patient encounter in which you asked, “why aren’t they getting better on antibiotics?” Case: Mrs. G is a 66-year-old woman with a past medical history of insulin-dependent diabetes and peripheral artery disease admitted from clinic with concern for left ankle and foot cellulitis.

Diagnosis 52

Diagnosis Diabetes Diagnose Clinic 52

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

MAY 20, 2025

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement. Pediatrics. 2024;154(1):e2024066854.

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Families Family Hospital Patient-Centered 101