A Country Doctor Writes

MAY 11, 2025

My problem managing Jimmy’s medications is that he keeps getting hurt, more often than most other patients I have run into. And when he gets hurt, he reports more suffering than most other patients and he openly worries about how much things will hurt before they get better. Check it out on Wikipedia and at the Cleveland Clinic.

Patients 130

Patients Emergency Room Diagnosis Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Atrial fibrillation (AFib) significantly impacts patient morbidity and mortality, despite existing screening practices. Objective: To synthesize data on the effectiveness, generalizability, and clinical relevance of ML models in detecting AFib cases using EHR in primary care settings.

Primary Care 130

Primary Care Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Public health initiatives, including community engagement projects, are vital for promoting early diagnosis and encouraging behaviors to combat PAD.

Community 130

Community Patient-Centered Utilities Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Dataset: We conducted a qualitative study utilizing the Database of Individual Patient Experiences (DIPEx) methodology - a time-tested, research-based approach for conducting and disseminating health and healthcare experiences.

Healthcare 130

Healthcare Provider Healthcare Experience Utilities 130

A Country Doctor Writes

MAY 31, 2025

However, as Pirsig argues in his book, focusing solely on the mechanical aspects of any practice—be it fixing a motorcycle or treating a patient—risks losing sight of the human element that gives the work its meaning. This presence transforms routine care into something meaningful for both patient and practitioner.

Diagnosis 130

Diagnosis Patients Diagnose Physicals 130

Physician's Weekly

JUNE 15, 2025

The following is a summary of “Mixed Autoimmune Hemolytic Anemia: A Systematic Review of Epidemiology, Clinical Characteristics, Therapies, and Outcomes,” published in the May 2025 issue of American Journal of Hematology by Jacobs et al. Patients had severe anemia with a median nadir hemoglobin of 5.6 g/dL.

Clinic 52

Clinic Diagnosis Management Patients 52

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context Misdiagnosis and over-diagnosis of urinary tract infection (UTI) are a leading cause of inappropriate antimicrobial use. Population Studied Providers participating in MaPCReN represented 306,394 patients with ≥1 visit between January 1, 2016 and December 31, 2021.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

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.

Clinic 52

Clinic Diagnosis Diagnose Utilities 52

Mesa Family Physician

JUNE 16, 2025

Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared. Many patients ask: What happens at a new patient appointment in primary care? People often search: What happens at a new patient visit? How long will it take?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

The Clinical Problem Solvers

SEPTEMBER 2, 2020

[link] Dr. Steph Sherman, Lindsey , Emma , and Sharmin tackle a case presented by Anna Want to learn more about Women in Diagnosis (WDx) series? She spends her free time with her husband, fellow clinical problem solver Zaven Sargsyan, and their ever-more-mobile 8-month-old son. Blog post – by Smitha Want to test your learning?

Clinic 52

Clinic Diagnosis Complication Internal Medicine 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?

Patients 126

Patients Treatment Plan Healthcare Medical Specialty 126

The Medical Futurist

JUNE 2, 2025

We didn’t need technologies to be able to differentiate between patients based on coughs, as primary care physicians have been doing that for centuries. These could even make cough monitoring as common as step tracking to inform individual patients and provide doctors with deeper health insights.

Patients 85

Patients Primary Care Physician Provider Healthcare 85

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.

Patient-Centered 52

Patient-Centered Diagnosis Management Utilities 52

A Country Doctor Writes

APRIL 17, 2025

When taking a medical history, it is often very difficult to pin down the duration of a patient’s symptoms or the speed of change. For example, patients tell me all the time that they had muscle aches on a statin drug. The art of diagnosis is said to be 80% the art of taking a good history of the clinical symptoms.

Diagnosis 130

Diagnosis Illness Provider IT 130

Physician's Weekly

JUNE 17, 2025

“The specific aim of the Commission was to establish objective criteria for disease diagnosis, aiding clinical decision making and prioritization of therapeutic interventions and public health strategies,” wrote W. Excess adiposity can be assumed in patients with very high BMI (>40 kg/m2 ) without additional confirmation.

Healthcare Professional 52

Healthcare Professional Clinic Diagnose Diagnosis 52

The Clinical Problem Solvers

MAY 20, 2020

[link] Rabih and Reza tackle a clinical unknown at MUSC with host, Dr. Marc Heincelman. His passion for medical education stems from his mission to motivate and inspire learners to become the best physicians possible for their future patients. spotless” RMSF), more commonly reported in elderly and/or African American patients.

Clinic 52

Clinic Internal Medicine Diagnosis Illness 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Since many patients with Major Depressive Disorder (MDD) have anhedonia and can be reluctant to engage in treatment, many practices struggle to engage patients with depression in regular follow up and care. Eligible patients had a diagnosis of MDD, but had not filled out a PHQ9 in the past 2 weeks to 6 months.

Electronics 130

Electronics Patients Mental Health Primary Care 130

The Clinical Problem Solvers

MAY 29, 2019

[link] Episode description Dr. Janice Kwan presents a clinical unknown to Dan and Rabih Download CPSolvers App here Schema #1 Schema #2 Show Notes Dr. Janice Kwan Janice Kwan is a general internist and Assistant Professor of Medicine at the University of Toronto.

Clinic 52

Clinic Diagnosis Families Family 52

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.

Management 59

Management Diagnosis Patient-Centered Patients 59

Annals of Family Medicine

NOVEMBER 20, 2024

Poor recruitment leads to extension or discontinuation of randomized controlled trials (RCTs) involving patients. Objective: To compare demographic, clinical and psychosocial characteristics of children with FAP and IBS who are recruited by their GP versus via media. years, interquartile range 1.5-4.6 years, interquartile range 0.5-4.6).

Primary Care 130

Primary Care GP Patients General Practitioner 130

Physician's Weekly

JUNE 23, 2025

The researchers found that none of the patients with VM showed signs of CEH, VEH, or increased perilymphatic enhancement (PLE). Only two patients had normal CEH, one had normal VEH, and six had equal PLE in both ears in the MD group. Anja Bernaerts, M.D., Anja Bernaerts, M.D.,

Diagnose 64

Diagnose Diagnosis Patients Hospital 64

The Clinical Problem Solvers

JULY 28, 2020

The Gender Gap in Diagnostic Reasoning: The Launch of Women in Diagnosis (WDx) Smitha Ganeshan, MD MBA Acknowledgements: Sharmin Shekarchian, MD, Emma Levine, MD, and Lindsey Shipley, MD, Daniel Minter, MD Medicine has a gender problem. The challenges of being a woman in medicine resonate with my own and many others’ experiences.

Diagnosis 52

Diagnosis Clinic Medical Community 52

The Clinical Problem Solvers

JULY 12, 2023

[link] In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Jorge Salazar presents a case to Dr. Monica Gandhi of a transgender woman with a recent diagnosis of HIV presenting with fatigue and weight loss. She also serves as the medical director of the HIV Clinic at SFGH (“Ward 86”).

Patients 52

Patients Internal Medicine Primary Care Education 52

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.

Complication 74

Complication Clinic Patients Diagnosis 74

Physician's Weekly

JUNE 24, 2025

Adding genetic testing to clinical familial hypercholesterolemia screening improves risk assessment, prognosis and helps to guide targeted therapy. Study Methods The researchers selected 469 patients for inclusion in this study. They evaluated the patients using the Dutch Lipid Clinics Network (DLCN) criteria.

Patient-Centered 52

Patient-Centered Screening Family Families 52

Annals of Family Medicine

MAY 27, 2025

METHODS We conducted a single-arm pragmatic clinical demonstration project in 7 diverse primary care clinics to test implementation of the Linus Health Core Cognitive Evaluation and Digital Clock and Recall DCAs (Linus Health, Inc). Eligible patients were aged ≥65 years. received a new diagnosis of ADRD, and 5.1%

Primary Care 130

Primary Care Diagnosis Screening Utilities 130

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>

Patients 52

Patients Diagnosis Treatment Plan Clinic 52

The Clinical Problem Solvers

JUNE 12, 2022

Clinical Reasoning Corner: Problem Representation By: Marcela A. de Oliveira Santana and Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers! The problem representation during the clinical reasoning process The PR is linked to hypothesis-generation and can act as a guide during the diagnostic journey.

Diagnosis 52

Diagnosis Illness Clinic Diabetes 52

Physician's Weekly

JUNE 15, 2025

The following is a summary of “Clinical and ultrasound features of a cohort of psoriasis patients without musculoskeletal symptoms: a prospective and multicenter study,” published in the June 2025 issue of Rheumatology by Azuaga et al. Of the 60 patients who completed the study, after a median follow-up of 76.60 months (IQR 39.34-85.25),

Diagnosis 52

Diagnosis Clinic Patients 52

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!),

Primary Care 52

Primary Care Clinic Diagnosis PCP 52

Annals of Family Medicine

NOVEMBER 20, 2024

Insight in patient characteristics in both settings might invite to reflect upon referral strategies of general practitioners (GPs) and interpretation of study results from hospital care. Comparison was based on an estimation of potential clinical relevance. Sixteen children in PC did not have a Rome diagnosis of FAP or IBS (10.5%).

Primary Care 130

Primary Care General Practitioner GP Diagnosis 130

Louisville Lectures

NOVEMBER 2, 2018

Anupama Raghuram discusses OIs in HIV by first reviewing pathogenesis, clinical manifestations, diagnosis, and select opportunistic infections in HIV positive patients. She then discusses challenges in diagnosis and treatment options for select OIs in HIV positive patients. A.A.H.I.V.S. A.A.H.I.V.S.

Diagnosis 52

Diagnosis Clinic Patients 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.

Patients 52

Patients Primary Care Appointment Diagnose 52

Physician's Weekly

JUNE 19, 2025

Rapid portable assays are needed to improve diagnosis, treatment, and reduce transmission of tuberculosis (TB), but current tests are not suitable for patients in resource-limited settings with high TB burden.” An estimated 4.2

Diagnose 64

Diagnose Engineering Utilities Diagnosis 64

Louisville Lectures

MAY 17, 2019

Anupama Raghuram discusses OIs in HIV by first reviewing pathogenesis, clinical manifestations, diagnosis, and select opportunistic infections in HIV positive patients. She then discusses challenges in diagnosis and treatment options for select OIs in HIV positive patients. A.A.H.I.V.S. A.A.H.I.V.S.

Diagnosis 52

Diagnosis Clinic Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130