The Clinical Problem Solvers

AUGUST 25, 2019

Let’s review the case: A 70-year-old man with COPD presented with subacute pleuritic chest pain and dyspnea. However, the patient continued to be symptomatic and he returned for further evaluation. The tempo of these symptoms can range from a smoldering subacute illness to a fulminant acute presentation over a few days.

Illness 52

Illness Complication Diagnosis Clinic 52

The Clinical Problem Solvers

SEPTEMBER 2, 2020

[link] Dr. Steph Sherman, Lindsey , Emma , and Sharmin tackle a case presented by Anna Want to learn more about Women in Diagnosis (WDx) series? Diagnosis The patient was found to have extensive bilateral consolidations on computed tomography of the chest. Blog post – by Smitha Want to test your learning?

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Clinic Diagnosis Complication Internal Medicine 52

Medical Xpress

APRIL 24, 2023

In a study conducted at Hospital for Special Surgery (HSS), researchers found that the use of peripheral nerve blocks in total knee and total hip arthroplasty were associated with a consistent reduction in risk for postoperative complications in patients with a lower comorbidity burden.

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Patients Complication Specialization Hospital 72

Medical Xpress

MAY 15, 2023

Specific subgroups of patients undergoing total joint arthroplasty (TJA) experience greater benefit from peripheral nerve blocks (PNBs) in terms of reduction in complications, according to a study presented at the Annual Regional Anesthesiology and Acute Pain Medicine Meeting 2023, held from April 20 to 22 in Hollywood, Florida.

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Complication Patients 94

Physicians News Digest

FEBRUARY 24, 2025

The findings revealed alarming evidence that the use of e-cigarettes is associated with serious health complications, including an increased risk of dementia, heart disease, and organ failure. Researchers measured biomarkers linked to smoking-related diseases, including respiratory and cardiovascular issues.

Complication 52

Complication Education IT Patients 52

Physician's Weekly

JUNE 25, 2025

Leonard Calabrese, DO, Paras Karmacharya, MD, MS, and Adam Kilian, MD, break down why giant cell arteritis (GCA) demands immediate action, explain how to confirm diagnosis quickly, and what same-day treatment options like upadacitinib (Rinvoq) mean for patient care. Video Transcript: Hi, this is Dr. Len Calabrese.

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Management Diagnosis Patient-Centered Patients 59

Medical Xpress

DECEMBER 23, 2022

For many breast cancer patients, the road to recovery may present hidden complications related to breast reconstruction following a mastectomy.

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Complication Patients 81

The Clinical Problem Solvers

APRIL 23, 2020

[link] Dr. Ruchit Rana presents a Human Dx unknown to Dr. André Mansoor and OHSU residents – Drs. Case Summary A 70-year-old man presented with six months of dyspnea on exertion, night sweats, and weight loss. The patient was diagnosed with diffuse large B-cell lymphoma complicated by hemophagocytic lymphohistiocytosis (HLH).

Internal Medicine 52

Internal Medicine Education Complication Diagnose 52

PEMBlog

MAY 28, 2025

In pediatric patients, complications can evolve rapidly and carry significant morbidity and mortality. Below is a focused overview of key lupus-related emergencies, with attention to ED-relevant presentations, diagnostics, and treatment strategies. Spot urine protein:creatinine ratio provides rapid assessment of proteinuria.

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Diagnosis Hypertension Complication Referral 94

PEMBlog

OCTOBER 18, 2024

The condition affects multiple organ systems—muscular, cardiac, and respiratory—leading to a myriad of clinical complications. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management.

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Patients Complication Management Consulting 52

PEMBlog

MARCH 4, 2025

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.

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Patient-Centered Diagnosis Complication Community 91

Physician's Weekly

JUNE 11, 2025

If low bone density is present, it’s often treated alongside a weight loss program. First, to meet protein needs, patients can be counseled to include 30 grams of high-quality protein sources at each meal. These recommendations are ideals, and some participants may require workarounds.

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Management Primary Care Physicals Telehealth 52

Vascular Physician

APRIL 22, 2024

Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient. Unless they are seeing their primary care provider for regular check-ups, they may not be made aware of their high blood pressure until they present for evaluation for another medical condition.

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ER Hypertension Primary Care Medical 52

The Clinical Problem Solvers

APRIL 20, 2022

[link] Dr. Blythe Butler presents a case to Dr. Alexandra “Jay” Teng, followed by a discussion about her experience as a woman in an Internal Medicine procedural subspecialty. Alexandra “Jay” Teng Alexandra “Jay” Teng hails from Berkeley and graduated from Harvard with a bachelor’s degree in history and science.

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Clinic Internal Medicine Diagnose Education 52

PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Formulate an evidence-based management plan for patients with suspected or confirmed Parvovirus B19, including those with underlying hemolytic disease or immunocompromise. Sometimes I share it with patients and families.

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Complication Patient-Centered Patients Clinic 83

Myriad Genetics

APRIL 26, 2024

Dense breast tissue complicates this as it makes cancers more difficult to detect. 3 According to new FDA guidelines, 4 by September 2024, all breast imaging facilities must alert a patient by letter if they have dense breasts and will recommend they contact their clinicians who can discuss potential follow-ups and risk assessment.

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Screening Families Family Diagnose 52

The Clinical Problem Solvers

MAY 14, 2020

Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? The patient I saw with atrial fibrillation and RVR likely wouldn’t even have merited testing in early March, yet he clearly had the disease in mid April. Sure, I don’t really think this patient has COVID-19, but what if I’m wrong?

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Illness Diagnosis Emergency Room Diagnose 52

The Clinical Problem Solvers

FEBRUARY 9, 2020

Likelihood ratios (LRs), which help us determine how a test changes the probability of a disease, are defined as: For example, say 60% of patients with aortic stenosis have a systolic ejection murmur best heard over the aortic valve area, and only 10% of patients without aortic stenosis have that same murmur.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

PEMBlog

OCTOBER 26, 2023

The most common presentation in children under 5 years of age is rectal bleeding, which may be intermittent or massive. Other complications include obstruction due to intussusception or volvulus, leading to bowel ischemia and shock. The bleeding is usually painless. This can be done via a laparoscopic or open approach. ” An et.

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Diagnosis Complication Consulting Management 64

Physician's Weekly

JUNE 11, 2025

Theno p consensus group, convened by the Lymphoma Research Foundation, discussed how they evaluate patients prior to treatment, which therapies they use across various settings, and how they handle unique treatment scenarios, among other considerations. TLS : TLS risk is higher with bulky disease and kidney dysfunction.

Management 52

Management Diagnosis Complication Screening 52

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.

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Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 26, 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. The mother describes the upper leg as feeling swollen and tense, and the patient cries when the area is touched. This is the last of the four cases.

Routine Screenings 59

Routine Screenings Patient-Centered Diagnosis Clinic 59

CDOCS

JUNE 15, 2021

Eight unique, life changing moments for both the doctors and the patients. She presented with edentulous areas on the upper right and lower left, leaving her with little chewing surface in the posterior regions. Felicia presented with decay on every tooth, and on almost every surface of every tooth (Figure 9).

Families 52

Families Family Patients Treatment Plan 52

CDOCS

MAY 4, 2021

Without this additional skill set and post graduate training I simply could not deliver the results that my patients deserve. & A healthy 46-year-old patient who has lived for over 30 years with missing bilateral maxillary incisors desired a fixed solution to his problem.

Patient-Centered 52

Patient-Centered Patients Manufacturing Clinic 52

GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Step four is adjusting it for your patient. How do you do that?

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IT Patients Individual Relationship 139

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.

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Diagnosis Diagnose Patients Asthma 52

PEMBlog

SEPTEMBER 25, 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. Initially, the patient was self-inflicting trauma to the eye with his thumb. It took two months for the patient to completely recover.

Patient-Centered 52

Patient-Centered Diagnosis Management Patients 52

FDA Law Blog

AUGUST 11, 2024

Presenting only information about the benefits or efficacy of a prescription drug, like AUVI-Q, without any risk information is considered a false or misleading presentation under the Federal Food, Drug and Cosmetic Act (FDCA), and is considered misbranding of the product.

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Clinic Provider IT Complication 59

GeriPal

JUNE 20, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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IT Patient-Centered Patients Clinic 120

GeriPal

JULY 19, 2024

What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients. Joe 18:38 Yeah, you know, it’s interesting, Soo, I’m doing a county by county visit here in Minnesota where I actually give a presentation on the basics of dementia and Alzheimer’s disease.

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Screening Primary Care Patient-Centered IT 119

PEMBlog

AUGUST 20, 2024

While ECPR shows promise in improving survival rates, particularly in pediatric patients with conditions like congenital heart disease, it is resource-intensive and carries significant risks. So first, the patient has ongoing, high quality CPR. If the patient’s heart function recovers, they’re gradually weaned off of ECMO.

Patient-Centered 52

Patient-Centered Hospital Patients IT 52

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

FDA Law Blog

FEBRUARY 28, 2023

if a user answers no to a device being sterile, the sterility sections does not present for population), a user may not know answers to all of the questions when they want to start preparing the information and/or they may miss a section depending on how they answer. The situation is similar for submissions where software is not changing.

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Provider Electronics IT Complication 52

GeriPal

MAY 11, 2023

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. Now, that doesn’t mean it’s a one-to-one, and this is very hard as we see it with our patients who have done all these things. Kristine: Exactly.

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Physicals IT Hypertension Education 86

Mesa Family Physician

MARCH 13, 2025

Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address. For Mesa residents dealing with these ongoing health challenges, regular visits to Mesa Family Physicians ensure that your condition remains well-controlled and complications are minimized.

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Family Physician Preventative Care Preventive Care Families 100

Vascular Physician

MARCH 29, 2022

Patient Presentation: The onset for PAA is typically insidious and asymptomatic. Occasionally patients will report unilateral pain in the lower leg on ambulation similar to peripheral arterial disease. Palpation of the artery may present with more pronounced pulsations when compared to the opposite extremity.

Complication 52

Complication Screening Hypertension Diagnosis 52

GeriPal

FEBRUARY 16, 2023

Summary Transcript Summary Think about the last time a patient yelled at you in anger. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Ask why: What is underneath the anger for this particular patient? Taking care of the hateful patient.

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Patients IT Families Family 109