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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Decisions have been dichotomized to ”COVID versus not COVID,” and people that have displayed none of the cardinal respiratory symptoms are being diagnosed with the disease. It started off like any other cardiology admission that we’d had during that month.

Illness 52
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

A patient’s clinical presentation, risk factors, and the base rate of disease, in addition to our own clinical experience, all factor into the pretest probability we assign to any diagnosis. Q: Is there portal hypertension? is consistent with her ascites being secondary to portal hypertension. On exam, her vitals are T 38.6°C,

Clinic 52
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Establishing a Task Force to Reassess the Inclusion of Race in Diagnosing Kidney Diseases. J Epidemiol Community Health. doi:10.7326/0003-4819-150-9-200905050-00006 African American Study of Kidney Disease and Hypertension (AASK): AASK Clinical Trial in the NIDDK Repository: [link] Lewis J, Agodoa L, Cheek D, et al. Knopf; 1982.

Clinic 52
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Prevention of Dementia: Kristine Yaffe

GeriPal

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.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

All kids with hypertensive emergency need ICU-level care. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. These neurological manifestations suggest hypertensive encephalopathy, a form of end-organ damage.

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GeriPal Takeover! Nancy Lundeberg and Annie Medina-Walpole

GeriPal

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. Ken 26:17 You presented that. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. But of course it is, actually.

IT 64
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On Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg

GeriPal

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. I probably should have said GFR. Eric: Yes. I just choose GFR. You publish the paper.

IT 92