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

Canadian Family Physician

Objective To provide an update on the most recent developments regarding diagnosis and outcomes of steatotic liver disease (SLD), review new nomenclature applied to SLD, and provide an approach to the diagnosis and management of SLD. Diagnosis relies on noninvasive tests.

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Lupus Emergencies in Children and Adolescents

PEMBlog

In pediatric patients, complications can evolve rapidly and carry significant morbidity and mortality. Renal Disease (Lupus Nephritis) Signs & Symptoms: Children may present with new-onset hypertension, edema, or decreased urine output. DVT symptoms or syncope may precede PE diagnosis.

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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
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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? Would I’ve been able to reason my way to his underlying diagnosis from the initial data? We walked down to the emergency room and reviewed his chart.

Illness 52
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Leriche Syndrome

Vascular Physician

Patients with arterial blockage may have no symptoms. However, the most common symptoms for patients with Leriche Syndrome include hip, thigh, and buttock claudication which may be on both sides. Treatment is patient-specific and based on age, health, and severity. An ABI less than 0.9 What are the symptoms?

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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. That’s really falling apart. Physical activity is a big one.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

All kids with hypertensive emergency need ICU-level care. Upon entering the room, you find the patients nurse at the bedside already in mid-conversation with the patients parent. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.