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.

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

Physician's Weekly

JUNE 17, 2025

Postural sway velocity as a screening tool in diabetic peripheral neuropathy represents a potential early marker of balance impairment and fall risk. In one study that was not presented at the PNS annual meeting, the researchers aimed to assess whether evaluating balance and gait could serve as a viable screening tool of DPN.

Diabetes 52

Diabetes Patient-Centered Screening Utilities 52

The Medical Futurist

JUNE 21, 2025

The 80-year-old Ray Flynn lost his central vision entirely, but with the help of the retinal implant, he could make out shapes on the computer screen. Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. The venture also offers smartphone-based vision eye tests, e.g. for measuring visual acuity.

Diabetes 98

Diabetes Patient-Centered IT Patients 98

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. .”

Diagnosis 64

Diagnosis Complication Consulting Management 64

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 83

Complication Patient-Centered Patients Clinic 83

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).

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

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. And we can talk about that later in terms of potential clinical implications that may have code. How do you think about this from a clinical perspective when you’re seeing individuals in your office?

IT 120

IT Patient-Centered Patients Clinic 120

Physician's Weekly

JUNE 13, 2025

Among patients who have never smoked—“never-smokers”—those with lung cancer (LC) are more likely to have been diagnosed with an inflammatory disease, according to a study published in Nature Communications. Mining Data The researchers mined electronic medical record data from the United Kingdom’s Clinical Practice Research Datalink.

Diagnose 105

Diagnose Screening Clinical Practice Electronics 105

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? This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 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?

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. And as of 2015, the survey started to ask folks about cancer history, just some broad questions about lifetime history of cancer and whether they’ve had a cancer diagnosis in the past year.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right?

Illness 129

Illness IT Diagnosis Patient-Centered 129

Myriad Genetics

NOVEMBER 25, 2024

Kathy Baker’s journey as a two-time cancer survivor exemplifies the transformative power of genetic testing, particularly for families with a known BRCA1 mutation, and amplifies the importance of genetic testing even after a cancer diagnosis. I have breast exams, I have annual dermatology appointments, I do prostate screenings.”

Families 52

Families Family Screening Individual 52

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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.”

Families 102

Families IT Family Diagnosis 102

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. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 122

Management IT Medical Patient-Centered 122

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Inborn errors of metabolism in infancy: a guide to diagnosis.

Consulting 59

Consulting Individual Families Family 59

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95

IT Clinic Screening Patients 95

GeriPal

JULY 28, 2022

I had it on my screen. Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. Maybe I could turn to both of you how you got interested in this.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 18, 2024

And you say, “Okay, that’s fine, but can it really … What about a real live clinical situation?” The results were that the chat bots got the diagnoses right and had an escalation strategy that was better than the doctors, as judged by blinded specialists reading the transcripts. They had no idea. This is GPT-4.

Electronics 139

Electronics IT Patients Healthcare 139

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Eric 16:08 Yeah.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. So too systolic hypertension in elderly people, clinical trials. This is Eric Widera.

IT 116

IT Clinic Illness Hypertension 116

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . I think that in almost every clinical encounter, we struggle with what’s ours and what’s someone else’s? Poetry helps us grapple with our own experiences of illness. How much are we there as people?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. But what happened when we finally… When he did get the diagnosis, it all fell into place. We thought some of the personality changes were due to him taking an early retirement.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Worried about what that means over the next two, four, six years, whatever their terms are.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141