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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

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. Concerned parents, fueled by a mountain of medical information online, often arrive expecting tests rather than provider expertise to determine the presence or absence of pneumonia.

Asthma 52
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

I’m a dementia specialist, and so what I was experiencing was that many people were coming to see me to get a diagnosis of a very straightforward case of mild Alzheimer’s or moderate Alzheimer’s disease, whose doctors had told them there was nothing wrong with them or that their memory was better than my own, says the doctor.

Screening 119
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You don’t need to order comprehensive viral panels for most patients

PEMBlog

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.

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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Are medications part of that, too? So, a lot of medications, you can see the secondary effects of dysphagia causing those, as well. We’ll also look at cognitive status, medications.

IT 124
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Social Workers as Leaders on Palliative Care Teams: A Podcast with Barbara Jones

GeriPal

Alex: We are honored to be joined by Barbara Jones, who is professor and associate dean for Health Affairs at the School of Social Work at UT Austin and chair of the Department of Health Social Work at Dell Medical School. I have this wonderful opportunity right now where I chair this Department of Health Social Work in Dell Medical School.

IT 102
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. So now it’s just POLST, the word POLST, Portable Medical Orders. Hey, it’s National POLST Collaborative now. Good to know.