The Clinical Problem Solvers

FEBRUARY 9, 2020

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. Further studies then reframe these probabilities and give us a posttest probability. On exam, her vitals are T 38.6°C, for chronic abdominal wall pain.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

PEMBlog

SEPTEMBER 24, 2024

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. He initially presented to his pediatrician two months prior with 10 days of cough and unexplained fevers. This is the second of the four cases.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

Community 102

Community IT Individual Patient-Centered 102

PEMBlog

MAY 20, 2025

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. And I think that when we’re faced with a child who has one of these diagnoses, that’s where we need to weigh the risks and benefits.

Families 101

Families Family Hospital Patient-Centered 101

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 120

Screening Primary Care Patient-Centered IT 120

GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Lona: Absolutely. Eric: Can I touch on the last study? Was there a difference Sonali? Sonali: Absolutely.

Complication 97

Complication Patient-Centered IT Patients 97

The Clinical Problem Solvers

DECEMBER 16, 2020

Establishing a Task Force to Reassess the Inclusion of Race in Diagnosing Kidney Diseases. J Epidemiol Community Health. link] Disclosures Mr. Khazanchi is a member of the American Medical Association’s Council on Medical Education, but the views presented herein represent his own and not necessarily those of the AMA or the Council.

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. But then there is incontinence, which is the same term, same word, but actually presents as a geriatric syndrome. It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result.

IT 121

IT Patient-Centered Patients Clinic 121

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. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms.

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

The Medical Futurist

JUNE 21, 2025

2) iDoc24 The award-winning dermatology service is present in more than 160 countries and is available in 7 languages. It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. The platform has already had more than 7,000 skin concerns submitted from all over the world.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. You present your. And I often use transgender because that’s the language that is more affirming broadly for the community. It was personal to me, but also right.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

APRIL 3, 2025

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. Eric 29:27 And initially the one we presented was like, what happens to people when they come to the hospital?

IT 65

IT Hospital Screening Patients 65

PEMBlog

JUNE 2, 2025

In the case presented, the patients blood pressure was significantly elevated, and she exhibited symptoms indicative of end-organ involvement, including altered mental status, headache, and nausea. Additional lab testing can be completed to account for the broader differential diagnoses.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 129

Community Families Family IT 129

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? But these tests were never designed to diagnose. Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

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

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. Abstract presenters as well. No difference between the two groups, right?

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

AUGUST 31, 2023

I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness. He really helped me a lot through the shock and awe of being diagnosed with cancer. Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

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. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care.

Families 102

Families IT Family Diagnosis 102

GeriPal

SEPTEMBER 1, 2022

We need to figure out how to create this community of palliative care social work scholars. It creates that community where you’re like, “Oh, I’m not alone. And I’ve got a whole community of people to support me.” And then my mom was diagnosed with lung cancer and she was treated there.

IT 102

IT Families Family Clinic 102

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. That was really the theme song of how the community came together. John: Yeah.

Provider 119

Provider Illness IT Healthcare 119

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

IT 92

IT Patient-Centered Healthcare Patients 92

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 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 9, 2023

And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them. This simulation, what we did is we videotaped, we basically had an actor play the role of a doctor, and we did a recruitment of people out in the community.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside. The rules are really quite simple: Find another person. Frank 08:43 Well, briefly.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

FEBRUARY 23, 2023

And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present. Eric: Lynn or Anne? But there was an impact on us as a team too.

Families 98

Families Family Patient-Centered IT 98

GeriPal

AUGUST 8, 2024

You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old.

IT 125

IT Families Family Relationship 125

GeriPal

JANUARY 11, 2024

One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. Sonu: So that’s another layer to it that’s being discussed currently that’s not in the law. Eric: Bill. Bill: Yeah. And I think that you can actually see this if you view it as a public health issue for a second.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

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 96

Primary Care IT Clinic Provider 96

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. Before the primary care visit. Danny 10:07 Yep, that was the goal.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

DECEMBER 21, 2023

With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. So I remember talking with David Reuben and others and say, all right, we need to be a doctor and diagnose exactly the question you ask, Eric. So that’s I think diagnoses.

Patient-Centered 126

Patient-Centered IT Families Family 126

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. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation. What are the prognoses associated with various PPS scores? Do you remember it?

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. The breast cancer community seems to have coalesced around hyaluronic acid formulations.

Illness 131

Illness IT Physicals Patients 131

PEMBlog

JANUARY 17, 2024

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. The lesion’s been present greater than two to three days and changing or getting worse, and there’s a history of a previous incision and drainage in that patient. Nah, not really.

IT 59

IT Patients Diagnosis Clinic 59