The Clinical Problem Solvers

AUGUST 14, 2019

His academic interests include clinical decision-making, physical diagnosis, point-of-care ultrasound, and the language of medicine. In his free time, he likes to play soccer and chess with his nephews and hang out with his wife and fellow clinical problem solver Steph Sherman. Twitter: @sargsyanz

Diagnosis 52

Diagnosis Illness Physicals Hospital 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Describe demographics and outcomes of adults with cancer who received services at integrative medicine clinics. Breast cancer was the most common (51%) diagnosis. Conclusions: Anxiety, depression, stress and fatigue improved among a cohort of people with cancer receiving care at integrative medicine clinics.

Screening 130

Screening Utilities Patient-Centered Insurance 130

The Clinical Problem Solvers

OCTOBER 21, 2019

Her clinical interests include primary care and medical education. When not in the hospital and clinics, she enjoys exploring the Houston foodie scene, watching movies, enjoying all things true crime, and spending time with her husband, Tyler, and Olde English Bulldogge, Bella. Human Dx Learn more here

Internal Medicine 52

Internal Medicine Board-Certified Education Hospital 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. Again, PsA can cause permanent joint damage if left untreated, undetected over time.

Diagnosis 52

Diagnosis Patients Provider Physicals 52

Physician's Weekly

JUNE 17, 2025

For the first time, the rate of autism diagnosis is higher among Black and Hispanic/Latine populations and for those from a lower socioeconomic background, although they continue to face diagnostic disparities compared with White populations. Those from marginalized backgrounds often face difficulty accessing these services.

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Board-Certified Behavioral Health Services Diagnose Referral 52

The Clinical Problem Solvers

MARCH 20, 2019

His primary interests include medical education, bedside teaching, physical diagnosis, POCUS and clinical reasoning. Prior to rejoining the residency for a chief year, he served as an academic hospitalist in the MGH Hospital Medicine Unit attending on both teaching and non-teaching services.

Internal Medicine 40

Internal Medicine Hospital Diagnosis Physicals 40

Vascular Physician

MARCH 25, 2022

Type I – Antegrade vertebral flow is reduced Type II – Antegrade flow during diastolic phase and retrograde flow during systolic phase Type III – Permanent retrograde vertebral flow Diagnosis Diagnosis can be made using imaging such as duplex ultrasound of the subclavian and vertebral arteries.

Hypertension 52

Hypertension Treatment Plan Diabetes Diagnosis 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

NOVEMBER 18, 2024

Just make a clinical diagnosis dang it! chorus] What happened to the history and physical? 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! Big viral panels? Show them the door!

Medical 52

Medical Utilities Diagnose Diagnosis 52

Priority Physicians

JANUARY 20, 2025

In our direct primary care setting, we take the time to deep-dive and explain options to our patients so they’re comfortable with a diagnosis and treatment plan that might not require an X-ray. An MRI augments and adds confidence to our clinical diagnosis. Imaging isn’t always required to get them there.

Management 52

Management Primary Care Physician Primary Care Board-Certified 52

PEMBlog

OCTOBER 17, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Physical exam Initial vital signs: T 37.5 °C The diagnosis can be made clinically. Clinical Pediatric Dermatology 5 th ed, Elsevier, 2016, 382-401. This is the second of the four cases.

Diagnose 69

Diagnose Diagnosis Clinic Patients 69

Vida Family Medicine

JUNE 28, 2024

Come prepared to your doctors’ appointment: Make sure you are scheduled for a problem visit, not a physical or check-up, so that you are scheduled appropriately in the correct time slot and there will not be confusion about billing. Here are my tips to make the most of the system we have, and how to avoid the snake-oil!

Patients 52

Patients Primary Care Appointment Diagnose 52

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Alright, let’s scope things out.

Diagnosis 52

Diagnosis Management Patient-Centered Diagnose 52

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 119

Screening Primary Care Patient-Centered IT 119

PEMBlog

AUGUST 30, 2023

As many as 40% of these children will receive a chest x-ray (CXR) during their ED visit despite clinical guidelines advising most of these tests are low value. Understanding root causes of CXR use in the ED clinical setting is key to mitigating overuse of this test.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. He had easy work of breathing, and physical exam was only notable for decreased breath sounds over the left lower lobe. What’s the Diagnosis? This is the second of the four cases. mg/dL, normal <0.1

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

OCTOBER 13, 2022

We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). So you’re right.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 11, 2023

There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. Physical activity is a big one.

Physicals 85

Physicals IT Hypertension Education 85

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. Here at UW Health, we call it our Swallow Service. We actually have even subspecialization, which is kind of fun. Eric: Fancy. Raele: Yeah, it’s beautiful, colorful images. Raele: Yes.

Hospital 124

Hospital IT Patient-Centered Individual 124

Pamela Wible MD

JUNE 20, 2025

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork?

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Medical Student Diagnosis Physicals Medical 246

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

PEMBlog

SEPTEMBER 6, 2023

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. Clinical utility of screening laboratory tests in pediatric psychiatric patients presenting to the emergency department for medical clearance. Ann Emerg Med.

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Lab Testing Medical Patients Mental Health 52

FDA Law

FEBRUARY 27, 2023

Comments, including data from research and clinical practice, that provides evidence that an alternate maximum day supply (other than the proposed 30-day supply). Proposed practitioner recordkeeping obligations. Additional safeguards or flexibilities that should be considered with respect to the rule.

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

Tiny Physician

FEBRUARY 15, 2022

Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health. This may result in errors in the diagnosis of the patient whom the doctor was examining initially. They had no concerns about the academics and workload of the PG doctors.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

Rao Doctor

APRIL 3, 2025

In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

DECEMBER 2, 2022

” And she was saying that because of the message that had come through in this public event, where she, as a person with a diagnosis of dementia, had been invited on an equal basis with everybody else. It has to be seen as valued to clinical outcomes. She had been included. And that was a transformative experience for her.

Community 101

Community IT Individual Patient-Centered 101

Mesa Family Physician

MAY 8, 2025

Whether you’re scheduling your annual physical , exploring the differences between a wellness visit vs physical , or simply wondering what’s covered under your insurance, understanding preventive care can empower you to take charge of your health. Annual Physicals: Covered or Not? How long is a physical good for?

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Preventive Care Preventative Care Wellness Visit Routine Screenings 100

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

JUNE 8, 2023

If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? So my background clinically is working with cancer patients and families and those who underwent bone marrow transplant, and a lot of times for their treatment regimen, it includes steroids. Absolutely.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

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Primary Care Diagnosis Screening IT 95

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

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Telehealth Patient-Centered IT Patients 105

Vascular Physician

MARCH 29, 2022

While not as common as aortic artery aneurysms (AAA), the risk of mortality from PAAs necessitate a familiarity with the correlating clinical signs and symptoms. On physical examination, the affected region may be swollen and erythematous though non-tender.

Complication 52

Complication Screening Hypertension Diagnosis 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Is my sore throat contagious?

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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

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 99

Consulting Patient-Centered Diagnosis Referral 99

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.”

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Family Families IT Diagnosis 102