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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). A lung biopsy demonstrated necrotizing granulomatous inflammation, and a diagnosis of GPA was made. It’s important to remember that GPA is a systemic illness with a variety of manifestations across multiple organ systems.

Illness 52
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RSV: Recognizing RSV Symptoms in Adults

Doctor On Demand

Let’s explore the distinctive signs of RSV in adults, highlight the similarities with other respiratory illnesses, and emphasize the importance of seeking professional medical advice. Coughing and Sneezing: Respiratory symptoms such as coughing and sneezing are common in all these illnesses.

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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. Part of the problem is that we are still figuring out this illness.

Illness 52
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Episode 85: Virtual Morning Report unknown with Dr. Avital O’Glasser & CPSolvers, Jack and Reza – fever, joint pain & rash

The Clinical Problem Solvers

Ultimately, he underwent aortic valve replacement, and pathologic examination of the valve tissue demonstrated coliform bacteria with molecular testing confirming a diagnosis of Streptobacillus moniliformis. Further history confirmed that he owned a pet rat and had experienced repeated bites prior to his illness.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

times more likely to develop urinary or sexual complications, 2.78 Time spent diagnosing, monitoring, and treating asymptomatic prostate cancer in men with limited life expectancy distracts from monitoring and treating their symptomatic life-limiting illnesses.

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Lupus Emergencies in Children and Adolescents

PEMBlog

In pediatric patients, complications can evolve rapidly and carry significant morbidity and mortality. DVT symptoms or syncope may precede PE diagnosis. Differential includes infection, medication toxicity, and primary psychiatric illness. Symptoms may precede formal SLE diagnosis. Always evaluate for infectious triggers.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations. Laboratory diagnosis and treatment of Mycoplasma pneumoniae infection in children: a review. And generally, we should make this diagnosis clinically.