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Racial and Disaggregated Ethnic Disparities of Blood Pressure Control in Community Health Centers [Hypertension]

Annals of Family Medicine

Context: Hypertension is the most prevalent reversible risk for cardiovascular morbidity and mortality. Setting: 953 community-based primary care clinics in a national network from 25 states across the United States. Comparisons between groups are presented as odds ratios (OR). Design: Retrospective cohort study.

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Drinking the Disease: Arsenic Exposure in Well Water from the Perspective of Patients and Providers [Social determinants and vulnerable populations]

Annals of Family Medicine

Chronic exposure has been associated with diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy, and QT prolongation. This is the first study elucidating clinician knowledge on the risk and symptomatic presentation of patient arsenic exposure from well water.

Patients 130
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Episode 299 – Neurology VMR – Clumsiness

The Clinical Problem Solvers

This time, María presents a case of clumsiness to Andrea and Sridhara. Sridhara Yaddanapudi @syaddana_neuro Sridhara is a board-certified internist, neurologist, vascular neurologist, and hypertension specialist. In her free time, she is usually playing guitar or climbing a mountain!

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Episode 305: Neurology VMR – Shallow Breathing

The Clinical Problem Solvers

This time, Vaness presents a case of shallow breathing to Maria and Sridhara. At home, you are most likely to find her in the kitchen preparing your new favorite meal Maria Jimena Aleman @MariaMjaleman María Jimena Alemán was born and raised in Guatemala where she currently works in community and rural health care.

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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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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. The second major factor complicating our diagnostic reasoning during this time is the dramatic shift in prevalence of the disease in the community. It started off like any other cardiology admission that we’d had during that month.

Illness 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

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. Prioritizing Equity in a Time of Scarcity: The COVID-19 Pandemic. J Gen Intern Med. 2020;35(9):2760-2762.

Clinic 52