The Clinical Problem Solvers

FEBRUARY 9, 2020

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.

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Clinic Diagnosis Hypertension Patients 52

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Laboratory diagnosis and treatment of Mycoplasma pneumoniae infection in children: a review.

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Patient-Centered Diagnosis Complication Community 91

Vida Family Medicine

JUNE 28, 2024

If you have already been diagnosed with any medical conditions, write down all of the diagnoses you have. Ask questions: Ask what the doctor thinks are potential causes of your symptoms (this is called the differential diagnosis) and what they think is most likely. Bring a list of all of the medications (even over the counter!)

Patients 52

Patients Primary Care Appointment Diagnose 52

PEMBlog

MAY 20, 2025

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin ( jennifer.marin@chp.edu ) from UPMC Childrens Hospital of Pittsburgh. So here to help us navigate these complex decisions is Dr. Jennifer Marin.

Family 101

Family Families Hospital Patient-Centered 101

GeriPal

MARCH 14, 2024

Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby. Eric: Oh boy. That’s going to be one of our topics, huh? Alex: It’s back. It’s back. To talk about this. Nicole, welcome to GeriPal. Nicole: Thanks so much for having us. I have one.

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IT Hospital Patient-Centered Individual 124

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

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Screening Primary Care Patient-Centered IT 119

PEMBlog

MAY 1, 2025

Clinical Manifestations and Diagnosis of Parvovirus B19 Infection. Learning Objectives Describe the classic and atypical clinical presentations of Parvovirus B19 infection in pediatric patients, including erythema infectiosum, arthropathy, transient aplastic crisis, and chronic anemia in immunocompromised hosts. UpToDate , Jun. Parvoviruses.

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Complication Patient-Centered Patients Clinic 83

GeriPal

OCTOBER 13, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. Welcome back Lona.

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Complication Patient-Centered IT Patients 97

The Clinical Problem Solvers

DECEMBER 3, 2019

She has been evaluated three times over this period, and each time she was diagnosed with cellulitis. Why isn’t she getting better? Dx Issues: The first step in investigating potential “antibiotic failure” is to reevaluate our working diagnosis. This didn’t improve despite two 7-day courses of oral antibiotics. What’s going on?

Diagnosis 52

Diagnosis Diabetes Diagnose Clinic 52

PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca A negative test can also provide false reassurance. for bronchiolitis and 1.5% isolation for SARS-CoV-2).

Patients 52

Patients Illness Hospital Management 52

GeriPal

DECEMBER 2, 2022

Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy, welcome to the GeriPal podcast. Judy: Thank you. It’s great to be here. Alex: Great. So take it away. When was that, 2010?

Community 101

Community IT Individual Patient-Centered 101

PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). This is the second of the four cases. Aspirated foreign body B. Lymphoma D.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

NOVEMBER 9, 2023

Summary Transcript Summary Coaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others. When I was a junior faculty, coaching wasn’t a thing. We address: What is coaching? This is Eric Widera.

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Board-Certified IT Primary Care Referral 110

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Acute onset psychosis is relatively rare.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Current research on post-COVID-19 conditions, or "long-COVID", has focused on hospitalized COVID-19 patients, and often lacks a comparison group. Research about PCC among non-hospitalized patients is emerging. Population Studied: Primary care patients never hospitalized for COVID-19 infection.

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Primary Care Hospital Patients Electronics 130

The Medical Futurist

JUNE 21, 2025

It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. (*There are widely varying figures, ranging from 66% to 90% depending on the source of information.) In 2013, only 56 percent of Americans owned a smartphone, which climbed to around 90% by now.

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Patients Healthcare Board-Certified Telemedicine 111

Medical Xpress

DECEMBER 5, 2022

The disease disproportionately impacts children, older adults, and hospitalized patients. Existing diagnosis methods consist of a range of blood tests and chest scans, and a doctor needs to suspect pneumonia before ordering them. To give them the greatest chance at recovery, it is crucial to catch and treat it early.

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Diagnose Diagnosis Hospital IT 92

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? It's a common challenge many people face. Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Regular check-ups ensure early detection of health issues.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

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Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. By diagnosis? We can’t possibly meet the needs of all people with newly diagnosed serious illness. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . By prognosis? Can nudges help?

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Consulting Patient-Centered Diagnosis IT 99

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

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IT Family Families Diagnosis 102

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. Most sore throats are common cases, so it can be hard to know when to seek urgent care or when to just rest at home. Swollen neck Neck swelling may suggest an infection spreading into deeper tissues.

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ER Telehealth Primary Care Doctor Appointment 52

GeriPal

FEBRUARY 22, 2024

Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Because we live in the world as it is, not as it should be, Des has helped develop an app ( link to pilot trial hot off the press !) ABIM MOC credit will be offered to subscribers in November, 2024.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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? Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” That’s a huge amount of news all at once. This is Eric Widera.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

Hallucinations, or when the AI lies or b *s, then denies it When the AI approaches sentience, is it ethical to unplug it? I’m sure this is a subject we will return to, given the rapid progress on AI. Which I thought were great questions. Maybe we could jump into that. Eric: It said, “How about Sparky?” What is artificial intelligence?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, welcome back to GeriPal.

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Illness Patient-Centered Screening IT 136

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. .

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 14, 2022

It’s been around for a long time but is acting like the hot new kid in town. Just look at this year’s AAHPM meeting, where it felt like every other session was talking about how hot buprenorphine is right now. But does this drug really live up to the hype? Eric: And why Under Pressure. Alex: So we’ll see what these come out like. Right, Katie?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 1, 2022

Barbara highlights social workers’ inherent leadership qualities and tasks us to consider whether our own team and organizational structures are allowing for optimal social work engagement and influence. by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Alex: This is Alex Smith. Is that right?

IT 102

IT Family Families Clinic 102

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. I am honored to introduce Bill Gardner, who’s a child psychologist and professor of psychiatry and epidemiology at the University of Ottawa. We have a Canadian theme going. We just had Harvey Chochinov on. Was it April 1st?”

Illness 128

Illness IT Diagnose Medical 128

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

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Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM. What is harm reduction and how can we implement it in practice? Who will prescribe the buprenorphine then?

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Patients Clinic Patient-Centered Illness 72

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. Thus, they have little in the way of long term vision for hospices, instead focused on cutting costs and maximizing profits. . People with dementia make up about half of hospice admissions. Is it you, Melissa?

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Family Families IT Patients 106

GeriPal

MAY 9, 2024

He was also the one who we have to thank for suggesting this podcast! Hsien Seow & Samantha (“Sammy”) Winemaker : Hsein and Sammy’s goal was to start a revolution with their podcast “ The Waiting Room Revolution ,” which is now in its 7th season! ABIM MOC credit will be offered to subscribers in November, 2024. Great title. Matt: Same.

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Education IT Illness Healthcare 127

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatr Rev.

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Consulting Individual Family Families 59