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.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

The Medical Futurist

JUNE 17, 2025

Artificial intelligence Already, dentists employ software to get insights into clinical decision-making, but AI is changing the face of dentistry, just like it is in many other fields. We’ve all been through this as a kid and childhood memories stick with us, just recalling this might send a shiver down your spine.

Patients 126

Patients Treatment Plan Healthcare Medical Specialty 126

Physician's Weekly

JUNE 16, 2025

Biomarkers for drug hypersensitivity reactions show promise, but most require validation for clinical use, according to members of the EAACI Task Force. Biomarkers for drug-induced immune reactions aid clinicians in diagnosing, risk-stratifying, and managing diseases. The measurement method is described.

Utilities 52

Utilities Diagnosis Relationship Clinic 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. People with confirmed obesity status should be assessed for clinical obesity. Timothy Garvey, MD, and colleagues.

Healthcare Professional 52

Healthcare Professional Clinic Diagnose Diagnosis 52

The Clinical Problem Solvers

DECEMBER 16, 2020

Nwamaka Eneanya and Jennifer Tsai to discuss the limitations and harms of race-based medicine in clinical practice. Our guests explain how we can incorporate race-conscious medicine in clinical settings, medical education, and biomedical/epidemiological research to responsibly recognize and address the harms of racial inequality.

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

Common Sense Family Doctor

MARCH 18, 2025

Dr. Smith notes that less than 5 percent of the preclinical and clinical curricula in medical school, absent electives, is devoted to teaching students about behavioral health or psychiatry. Even though stigma prevents many persons with mental health problems from seeking care, there has never been enough go around.

Mental Health 52

Mental Health IT Primary Care Primary Care Physician 52

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.

Screening 52

Screening Diagnose Patients Diagnosis 52

Physician's Weekly

JUNE 22, 2025

The single-center study, published in the June 2025 issue of Arthritis & Rheumatology, investigators assessed the effectiveness of contrast-enhanced dual-energy CT (CE-DECT) in detecting and differentiating rheumatic joint diseases of the hand. They consecutively enrolled patients with suspected hand arthritis during standard clinical care.

Patient-Centered 52

Patient-Centered Diagnosis Management Utilities 52

The Direct Doctors Difference

AUGUST 9, 2023

As physicians, our 8+ years of training are focused on understanding what symptoms could be related to what diagnoses and helping patients navigate the many possibilities and narrow it down with appropriate testing and treatment to better understand what their final diagnosis may be. Or does it!?

Primary Care 52

Primary Care Clinic Diagnosis PCP 52

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.

Management 89

Management Diagnose Diagnosis Clinic 89

The Medical Futurist

JUNE 21, 2025

Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. How far can you see and hear? When it comes to vision, it’s around 50 miles, talking about hearing, it’s only 1-2 miles at best! What about the smell of the flowers? Without the wind blowing, only 10-20 metres. How about touching or tasting? Globally 1.1

Diabetes 98

Diabetes Patient-Centered IT Patients 98

NPR Health - Shots

JUNE 26, 2025

Part of the reason why may be that autism diagnoses have soared over the last few decades. Could the clinical definition of autism itself be partly to blame? Kennedy, Jr. has spent years spreading doubt about the safety of vaccines and linking them to autism. Frances says that expanded definition played a role in the increase.

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Today's Hospitalist

MAY 9, 2025

Yet this expansion has come with a significant administrative burden, particularly that of clinical documentation. This isn’t about replacing your clinical judgment. Ambient dictation, or ambient clinical documentation, represents a paradigm shift. This isn’t about replacing your clinical judgment.

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

Annals of Family Medicine

NOVEMBER 20, 2024

The Aloft model focuses on brief, short term, evidence-based psychotherapy interventions at varying levels of intensity, making it possible to tailor the intervention based on clinic needs. Population Studied: Adult and pediatric primary care clinics. Clinical measures include rate of diagnoses, medication changes, PHQ9.

Primary Care 130

Primary Care Screening Integrated Care Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To achieve consensus on prioritizing criteria for selecting tests that are used in SC and not yet in PC, but that have clinical potential in PC. The first part asks future users to describe the diagnostic situation, e.g. the target patient population, differential diagnoses and potential for improvement in the diagnostic pathway.

Primary Care 130

Primary Care General Practitioner GP Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Researchers have sought to develop culturally sensitive approaches in IPC to meet behavioral and socioeconomic needs of racially and ethnically marginalized populations, who are overrepresented in behavioral health diagnoses and underrepresented in services in the US. However, which approaches are optimal remains unknown.

Primary Care 130

Primary Care Behavioral Health Services Patient-Centered Illness 130

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 122

Diagnosis Diagnose Hospital Clinic 122

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.

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

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. The latest – and perhaps biggest – hit was the announcement of ChatGPT-4o from OpenAI.

Healthcare 53

Healthcare Healthcare Professional Electronics Medical 53

Annals of Family Medicine

NOVEMBER 20, 2024

METHOD/PARTICIPANTS: A 21-item survey questionnaire was mailed to 489 adult patients ages 18-75 with DM type 2 empaneled to 3 primary care clinics, who had hemoglobin A1c of =/>8% and who gave research authorization. BACKGROUND: Control of diabetes remains a significant global health problem.

Diabetes 130

Diabetes Patients Management Primary Care 130

The Clinical Problem Solvers

SEPTEMBER 28, 2019

From these conversations, they identified four general “themes”: (1) consistent learning efforts, (2) rigorous skills development, (3) developing “habits of the mind,” and (4) seeking out clinically rich working environments. These clinicians recount rigorous efforts directed towards improving their knowledge and clinical skills.

Lab Testing 52

Lab Testing Clinic Education Clinical Practice 52

Physician's Weekly

JUNE 25, 2025

I’m the Vice Chairman of Rheumatology at the Cleveland Clinic and the co-director of the Center for Vasculitis Care and Research. And I’m here today to talk about giant cell arteritis in clinical practice. Video Transcript: Hi, this is Dr. Len Calabrese. Hello everyone. I’m Paras Karmacharya. I am Dr. Adam Killian.

Management 59

Management Diagnosis Patient-Centered Patients 59

Medical Xpress

JANUARY 3, 2023

The American College of Physicians (ACP) has issued an update of its guideline with clinical recommendations for treatments of primary osteoporosis and low bone mass in adults. The full guideline is published in Annals of Internal Medicine.

Internal Medicine 96

Internal Medicine Diagnose Clinic IT 96

FDA Law Blog

NOVEMBER 10, 2024

Each year, FDA selects a limited number of clinical trials to fund to help sponsors pursue development of medical products for rare diseases and advance their field. In October, FDA announced seven new clinical trial grants awarded in fiscal year (FY) 2024 – including one for a Phase 3 trial – totaling $17.2

Clinic 69

Clinic Provider Consulting Medical 69

Physician's Weekly

JUNE 17, 2025

Traditional DPN Screening Methods Diagnosing and treating DPN has traditionally been a multi-step process. Researchers also assessed patients’ Toronto Clinical Neuropathy Score (TCNS), confirming participants with a score of 5 or higher as having DPN.

Diabetes 52

Diabetes Patient-Centered Screening Utilities 52

Vida Family Medicine

JUNE 28, 2024

If you have already been diagnosed with any medical conditions, write down all of the diagnoses you have. There are many factors that make it a challenge to get answers for unexplained symptoms. 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.

Patients 52

Patients Primary Care Appointment Diagnose 52

Vida Family Medicine

AUGUST 26, 2024

From specialized obesity clinics to online services offering quick prescriptions, the options can feel overwhelming. Those with higher BMIs are at the greatest risk , but unfortunately they are often not diagnosed and simply told to keep losing weight, which only worsens the problem. But how do you know what is safe and who to trust?

Primary Care Physician 52

Primary Care Physician Primary Care Diabetes Chronic Condition 52

PEMBlog

OCTOBER 11, 2023

To diagnose bladder rupture, CT cystography is the preferred diagnostic test. Clinical signs of bladder injury are nonspecific. However, in pediatric patients whose pelvic bones are not fully developed, the bladder is more prone to injury.

Diagnose 98

Diagnose Patients Clinic IT 98

Medical Xpress

DECEMBER 19, 2022

A large first-of-its-kind study reported in the Journal of Clinical Oncology finds that expanded Medicaid coverage under the Affordable Care Act (ACA) leads to better survival outcomes for young adults aged 18-39 newly diagnosed with cancer, particularly those identified as of Hispanic ethnicity or non-Hispanic Black race.

Diagnose 75

Diagnose Clinic IT 75

The Clinical Problem Solvers

MAY 14, 2020

Decisions have been dichotomized to ”COVID versus not COVID,” and people that have displayed none of the cardinal respiratory symptoms are being diagnosed with the disease. Reasoning during the COVID-19 pandemic by Dan Minter The other day, I had an experience which really shook my confidence.

Illness 52

Illness Diagnosis Emergency Room Diagnose 52

Physician's Weekly

JUNE 24, 2025

A substantial reduction in dementia diagnoses in the vaccine-eligible group, with a much stronger protective effect in women, therefore constitutes “more powerful and convincing evidence,” he said. Her doctor and several pharmacies turned her down because she was below the recommended age at the time, which was 60.

Vaccination 52

Vaccination Illness Hospital Patient-Centered 52

Physicians Alliance of Connecticut

MAY 6, 2025

Some high-demand roles in New Haven County include: Physicians and specialists: Doctors are responsible for diagnosing and treating illnesses and injuries, as well as helping patients take care of their health. Highlight your relevant work history and clinical experience.

Healthcare 52

Healthcare Nurse Practitioner Healthcare Professional Education 52

Physician's Weekly

JUNE 16, 2025

The survey presented two patient vignettes and analyzed the respondents’ preferred treatment choices for patients with cardiac risk, use of cardioprotective strategies, post-treatment surveillance, and willingness to participate in clinical trials. 32% would routinely order a post-treatment echocardiogram.

Routine Screenings 52

Routine Screenings Patient-Centered Screening Provider 52

East Cary Family Physicians

OCTOBER 20, 2023

While knowing what to look for is important, it’s equally vital to get regular mammograms and clinical breast exams, as these tests can help detect breast cancer before symptoms appear. Most breast cancers are diagnosed in women over the age of 50. The average risk of a woman in the U.S.

Family Physician 40

Family Physician Families Family Screening 40

Physicians Alliance of Connecticut

MARCH 28, 2025

This lets you know that they are an expert in diagnosing and treating hormone conditions. Read Patient Reviews Reading online reviews from other patients can help you learn whether a certain hormone doctor or clinic might be the right fit for you. Consider how long it will take to get to the office, taking traffic into account.

Board-Certified 52

Board-Certified Appointment Insurance Consulting 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

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. PSA, psoriatic arthritis is a heterogeneous disease. It presents in different ways. It presents across multiple domains of disease.

Diagnosis 52

Diagnosis Patients Provider Physicals 52