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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

A CXR showed a left upper lobe consolidation, and he was treated with antibiotics for presumed community-acquired pneumonia. A lung biopsy demonstrated necrotizing granulomatous inflammation, and a diagnosis of GPA was made. Let’s review the case: A 70-year-old man with COPD presented with subacute pleuritic chest pain and dyspnea.

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

times more likely to develop urinary or sexual complications, 2.78 times more likely to develop urinary or sexual complications, 2.78 Also, limited life expectancy increases the likelihood of complications from most procedures, including radiation therapy. Watchful waiting refers to clinical observation only.

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Q&A: Cannabis Use Tied to Reduced Working Memory

Physician's Weekly

No other tasks were associated with lifetime heavy use, recent use, or dependence diagnosis. We need to better understand the guardrails around safe cannabis use and educate the healthcare community and patients. The healthcare community cannot take an “all bad or all good” view of cannabis. It’s more complicated than that.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

Would I’ve been able to reason my way to his underlying diagnosis from the initial data? I find it awe-inspiring to listen to clinicians pick up on subtle clues and use both intuitive and analytic reasoning to reach a final diagnosis. It started off like any other cardiology admission that we’d had during that month.

Illness 52
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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Laboratory diagnosis and treatment of Mycoplasma pneumoniae infection in children: a review. Plus, well discuss whether M. Plus, well discuss whether M.

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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Objectives Define likelihood ratios and their utility in diagnostic reasoning Identify how likelihood ratios alter the probability of a diagnosis Apply likelihood ratios in clinical reasoning What are likelihood ratios and how do they work? A LR > 1 increases the probability of a specific diagnosis.

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

GeriPal

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 120