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Approach to steatotic liver disease in the office: Diagnosis, management, and proposed nomenclature

Canadian Family Physician

Known complications of metabolic syndrome and advanced liver disease are often present at the time of diagnosis. Subtle differences are present among patients diagnosed with SLD. Diagnosis relies on noninvasive tests. Practitioners should be aware of a flux in terminology of SLD.

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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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Prevention of Dementia: Kristine Yaffe

GeriPal

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. But I would say that in terms of education, it’s really complicated because it’s so confounded by socioeconomic status and so many social determinants of health. AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast.

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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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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. Eric: And it’s even more complicated, right? I probably should have said GFR. Eric: Yes. I just choose GFR.

IT 92
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Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera

GeriPal

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. Sometimes the subtle infection kills them, and they get hypertensive and they die, or they die of arrhythmias and sudden death.

Illness 134