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. Luckily, Dr.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

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.

Diagnosis 123

Diagnosis Diagnose Hospital Clinic 123

Physician's Weekly

JUNE 17, 2025

Traditional DPN Screening Methods Diagnosing and treating DPN has traditionally been a multi-step process. However, the study authors suggest that assessing postural sway may be another route for early screening and diagnosis of DPN. Researchers measured large nerve fiber function, small muscle fiber function, and balance and gait.

Diabetes 52

Diabetes Patient-Centered Screening Utilities 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. So I think it leads to a lot of uncertainty in terms of, am I going to get a diagnosis?

Diagnosis 52

Diagnosis Patients Provider Physicals 52

PEMBlog

NOVEMBER 18, 2024

Just make a clinical diagnosis dang it! You don’t need to send comprehensive viral tests in the majority of children with cough and congestion. Lyrics Adeno, rhino, entero too swabbing a nose just for something to do RSV, HSV, EBV, no! Save all that money and let the kid go Influenza, COVID, why not some more? Big viral panels?

Medical 52

Medical Utilities Diagnosis Diagnose 52

PEMBlog

OCTOBER 26, 2023

This nuclear medicine scan utilizes a radioactive tracer that is taken up by the gastric mucosa in Meckel’s diverticulum, thereby helping to identify its presence. “Clinically, Meckel diverticulum should be suspected in any child younger than 2 years of age with painless rectal bleeding. ” An et. ” An et.

Diagnosis 64

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.

Screening 120

Screening Primary Care Patient-Centered IT 120

PEMBlog

SEPTEMBER 27, 2023

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. Reasons to not order a comprehensive respiratory viral panel (i.e., JAMA Pediatr.

Patients 52

Patients Illness Hospital Management 52

CDOCS

MAY 4, 2021

We need to recognize how clinical dentistry has become intertwined with digital technologies to synergistically assist us in providing enhanced diagnosis with safe and predictable treatment outcomes. & I utilized 2CC of the mineralized freeze-dried allograft, particle size 500um to 1000um.

Patient-Centered 52

Patient-Centered Patients Manufacturing Clinic 52

GeriPal

MARCH 14, 2024

So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Here at UW Health, we call it our Swallow Service. Eric: Fancy. Raele: Yes.

IT 125

IT Patient-Centered Hospital Individual 125

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Sometimes people call them health shocks, but we kind of all, like, clinically, intuitively know what these things are. Has really changed.

Illness 60

Illness Hospital IT Patient-Centered 60

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

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Compare the incidence of post-COVID conditions (PCC) by pre-pandemic diagnosed by the type of disability. Intervention/Instrument: Disability status was identified from documented diagnostic codes from January 2018 to December 2019, and COVID-19 diagnosis was captured between April 2020 and December 2022. 95% CI 0.51, 0.7)

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

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.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

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.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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 103

Illness Patient-Centered IT Patients 103

GeriPal

SEPTEMBER 1, 2022

And we’ll tell you the scope of practice, and this is top of license, and this is how you can best utilize a social worker and, no, actually that skillset belongs over here.” 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

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Inborn errors of metabolism in infancy: a guide to diagnosis. On clinical presentation. Now, first off, realize that most IEMs present with very nonspecific clinical features. Pediatr Rev.

Consulting 59

Consulting Individual Families Family 59

CDOCS

APRIL 11, 2025

The age of diagnosis of HPV squamous cell carcinoma starts in males and females at about 30 years old and peaks between 60-69 and then starts decreasing after that. With more than 13,000 new diagnoses of throat cancer each year in the US, the disease has surpassed cervical cancer as the most common cancer with HPV.</p>

PCP 52

PCP PCP Primary Care Physician Patients 52

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, we know little about the clinical experience of people with dementia in hospice. People across all diagnoses want hospice care. What motivated you? Lauren: Yeah. I threw out a lot.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 7, 2024

Because I don’t come from a clinical background, so I have a whole different set of language in the way I approach something than someone with a medical background. Our folks all die of congestive heart failure and dementia, even oncology diagnoses with new immunotherapies like the old days. Is that right, Jane? Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Jennifer 04:25 I can take that on.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults.

Community 89

Community Nurse Practitioner Provider IT 89

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. So that’s I think diagnoses. But it was also later on in the disease. Diane: Yeah.

Patient-Centered 126

Patient-Centered IT Families Family 126