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High use of the emergency department among patients in Krakow, Poland: An alternative to seeking primary care? [Acute and emergency care]

Annals of Family Medicine

Patient and visit-level data on gender, age, residence location, ambulance arrival, triage category, specialist consultations, ICD-10 discharge diagnosis, and hospital admission were analyzed. Results: In 2022, there were 39,851 ED visits made to the hospital by 32,927 patients. median: 6, IQR: 2.0).

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Episode 353: Rafael Medina Subspecialty Series – AMS “Treat before Diagnosis”

The Clinical Problem Solvers

John Woller is an academic hospitalist working in the Johns Hopkins Hospital in the Division of Hospital Medicine. And Dr. Areeb Masood , is a third-year internal medicine resident at Johns Hopkins Hospital in the Osler Internal Medicine Residency and Urban Health Track. Kuchal is passionate about medical education.

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Evaluation of Primary Care Provider Utilization by Asthma Patients after the Implementation of Coach McLungsSM [Child and adolescent health]

Annals of Family Medicine

Setting: An urban pediatric emergency department in Charlotte, North Carolina, USA, that serves a low-income, high-minority community. Population Studied: Patients with an asthma diagnosis aged 7-17. Outcome Measures: Emergency department utilization, hospitalization, steroid prescriptions, and primary care provider (PCP) utilization.

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COVID-19 'test to treat' sites less accessible to many marginalized communities

Medical Xpress

A new study from investigators at Brigham and Women's Hospital, a founding member of Mass General Brigham, the University of Virginia School of Medicine, and the University of Pittsburgh, finds that COVID-19 "Test to Treat" sites—clinical centers launched based on a federal initiative to provide free testing, diagnosis, and immediate access to COVID-19 (..)

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Migraine headaches: diagnostic and treatment tips

Common Sense Family Doctor

A retrospective analysis of characteristics of 15 consecutive years of code stroke cases at a hospital in Barcelona, Spain, found that patients who were ultimately diagnosed with migraine headache with aura (1.1%) were more likely to be younger, female, and have fewer vascular risk factors than patients with ischemic strokes.

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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. Parenthetically, the question around CT for the diagnosis of COVID-19 is interesting.

Illness 52
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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