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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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Renal Artery Stenosis: Is It Common & Life Threatening?

Vascular Physician

Other factors that could make you more likely to be affected by RAS include: High blood pressure High cholesterol Diabetes Smoking Unhealthy diet Men over the age of 45 and women over the age of 55 Obesity What Are the Symptoms, Diagnosis, and Complications? In most cases, RAS does not exhibit any noticeable signs or symptoms.

IT 52
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Leriche Syndrome

Vascular Physician

To diagnose this condition, your physician may perform screening tests, such as an ankle-brachial index test (ABI). In fact, sexual dysfunction is so often associated with Leriche Syndrome that the absence of this symptom suggests that another diagnosis should be considered. An ABI less than 0.9 What are the treatment options?

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Prevention of Dementia: Kristine Yaffe

GeriPal

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. Physical activity is a big one. But there are some things that we really think we can modify: the vascular risk factors, sleep, physical activity, maybe cognitive activity, and what kind of bang for the buck could we get?

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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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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Eric 12:05 Any pearls on the diagnosis of HFpEF. Eric 13:28 Thank you. What is GDMT?

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Managing Urinary Symptoms and UTI’s in Older Adults

GeriPal

We discuss with her how we should work-up and manage “urinary tract infections” (I’ve added air quotes to “UTI” in honor of Tom Finucane’s JAGS article titled “Urinary Tract Infection”—Requiem for a Heavyweight in which he advocated to put air quotes around the term UTI due to the ambiguity of the diagnosis.). Is that right? Chrissy: Right.