The Clinical Problem Solvers

FEBRUARY 9, 2020

I still struggle to know when it is the right time to use LRs, and often find myself reaching for them in times of diagnostic ambiguity or when I am considering unfamiliar diagnoses. Furthermore, creating a list of the LRs for useful diagnostic tests in common diseases (e.g., for chronic abdominal wall pain. Submitted by @VChoksi

Clinic 52

Clinic Diagnosis Hypertension Patients 52

PEMBlog

SEPTEMBER 24, 2024

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. Bronchopulmonary sequestration C. Lymphoma D. of all CLMs.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

JULY 19, 2024

And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months. It can’t be diagnosed and adios.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. Eric: And swallowing is complicated, right? You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Are there things that we can do to prevent the complication of aspiration, which we most fear, aspiration pneumonia?

IT 124

IT Patient-Centered Hospital Individual 124

GeriPal

JUNE 20, 2024

It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result. But that combination is actually quite common, and it’s quite challenging to diagnose and manage, at least in the traditional sense. Clinicians don’t ask about it. George 19:37 Exactly, exactly. Alison 29:08 Yes.

IT 120

IT Patient-Centered Patients Clinic 120

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Endoscopy, upper GI and endoscopy is the gold standard for diagnosing gastritis. Non invasive H. Non invasive H. pylori in the kid.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. I agree with you.

Physicals 86

Physicals IT Hypertension Education 86

Doctors for America

MAY 30, 2025

Millions of Americans continue to live with complications of this disease and long COVID. We need all tools available to prevent complications of COVID-19. Our impact areas focus on access to affordable care, community health and prevention, and health justice and equity.

Vaccination 73

Vaccination Medical Student Patient-Centered Community 73

Mesa Family Physician

MARCH 6, 2025

James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Identifying health concerns before symptoms appear gives us tremendous advantages in treatment success and minimizing long-term complications.

Preventative Care 100

Preventative Care Preventive Care Appointment Screening 100

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

PEMBlog

JUNE 2, 2025

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 26, 2023

So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others. You go into this community, perform this study, you leave. Eric: And it’s even more complicated, right? Eric: Yes.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

FEBRUARY 23, 2023

This is not a process where they can see into the future around what complications or challenges may arise, but this is the world that we live in and we can anticipate that. It might be a hired caregiver, it might be a social worker in the community or other person who may not identify with that word friend or family.

Family 98

Family Families Patient-Centered IT 98

GeriPal

AUGUST 25, 2022

Eric: If I remember your article correctly, there was maybe some better things with for-profits, like more community engagement with low-income communities and more engagement with minority communities. People across all diagnoses want hospice care. Melissa: I don’t know how to explain that or what that means.

Family 106

Family Families IT Patients 106

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Eric: So now we’re getting this issue of do we have to change things for different diagnoses, different cancer? Jennifer: I think it’s such a complicated question. So we’re in the same cancer group.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 13, 2024

We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Thank you for that gift to our community and to the patients. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Our folks all die of congestive heart failure and dementia, even oncology diagnoses with new immunotherapies like the old days.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. And making most I can do, I can use my mouth even though I only have six fingers here. So figured out a little harmonica- Eric: That was wonderful.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. The intervention itself is very straightforward.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

Don 13:50 Well, you know, I think one of the issues, though, when you ask about prevalence data, especially, say, in the oncology world, not only does it matter about how you ask the questions, but because it’s such a complicated topic, people may infer very different things as to what you’re talking about. Sharon 15:21 Right.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old.

Family 106

Family Families Patient-Centered Patients 106

PEMBlog

JANUARY 17, 2024

Complications that you should be aware of include bacteremia, endocarditis, septic arthritis, or osteomyelitis. If you think that there’s an abscess, you can diagnose it clinically by a localized area of induration or fluctuance or use an ultrasound. It’s still often done out in the community. Bilateral red limbs?

IT 59

IT Patients Diagnosis Clinic 59

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. You can broaden the scope of diagnoses.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Pamela Wible MD

JUNE 19, 2025

Wible held town hall meetings and she invited citizens in her community to design their own ideal clinic. Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. ” I’m like “Do you really want to like complicate your life? Just stop right now.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

PEMBlog

DECEMBER 4, 2024

Aside from coughing forever, there’s some important complications you need to be aware of. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension. And you definitely have to watch those kids very closely for the complications such as hypoxia and secondary infections.

IT 52

IT Vaccination Diagnosis Complication 52