PEMBlog

JANUARY 21, 2025

The concurrent circulation of influenza, respiratory syncytial virus (RSV), COVID-19, and norovirus during peak viral seasons presents a diagnostic challenge in pediatric emergency settings. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. It’s another article, another major article that has triggered the complicated UTI circuit. But what I did want to highlight is how we got to thinking about men that have UTIs have complicated UTIs.

Complication 97

Complication Patient-Centered IT Patients 97

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. On hospital day #2, peritoneal fluid cultures returned positive for E. On exam, her vitals are T 38.6°C, coli, confirming a diagnosis of SBP.

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

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 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. It’s another article, another major article that has triggered the complicated UTI circuit. But what I did want to highlight is how we got to thinking about men that have UTIs have complicated UTIs.

Complication 52

Complication Patient-Centered IT Patients 52

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

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Family 98

Family Families Patient-Centered IT 98

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Absolutely.

IT 102

IT Families Family Diagnosis 102

GeriPal

JANUARY 26, 2023

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? Eric: And it’s even more complicated, right? Ramona: Glomerular Filtration Raterate. Eric: Yes.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.

Patients 110

Patients IT Families Family 110

GeriPal

JUNE 13, 2024

Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it. That patient past cache.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. Eric: Bill. Bill: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. So tiny, tiny, in a hospital bed. I’m fully present. We examine, we diagnose, we fix. To diagnose, to come up with a formulation, to be able to really get hold of the cause of this individual suffering. Harvey: Complicated.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. People are living with HIV into advanced ages. The average age at death is likely in the 60s. Meredith, welcome to the GeriPal Podcast.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? Alex 00:18 Prognosis, super special today. And we have some great guests.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. The intervention itself is very straightforward. Before the primary care visit.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal. Don 01:11 Thank you so much. Arish, I missed your talk. The state of the science.

Illness 131

Illness IT Physicals Patients 131

GeriPal

AUGUST 22, 2024

Knowing I was interested in neurology and had opportunities to observe brain death determination in the hospital. Right, my answer that brings us a little bit closer to the present than my childhood. So in the case of Jahi McMath, you were talking about, you know, her family was kicked out of the hospital.

IT 115

IT Families Family Patient-Centered 115

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

JANUARY 17, 2024

Complications that you should be aware of include bacteremia, endocarditis, septic arthritis, or osteomyelitis. 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. Bilateral red limbs? That’s probably something different. Nah, not really.

IT 59

IT Patients Diagnosis Clinic 59

PEMBlog

DECEMBER 4, 2024

We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates. Learning Objectives Understand the clinical progression of pertussis through its three distinct stages and identify key symptoms, including age-specific presentations in infants and older children.

IT 52

IT Vaccination Diagnosis Complication 52

GeriPal

JULY 16, 2024

Eric Widera reminds us of the history of the Goldwater Act created by the American Psychological Association in the 1960s which states that psychiatrists should refrain from diagnosing public figures, and the American Medical Association code of ethics which likewise discourages armchair diagnosis (rule established in 2017).

Diagnosis 141

Diagnosis Diagnose IT Physicals 141