The Clinical Problem Solvers

SEPTEMBER 28, 2019

If you’re anything like me, you’ve probably found yourself asking that question after listening to a discussant on the podcast arrive at some unexpected diagnosis, only to have the biopsy or lab test prove them right. Now, if you’ll excuse me, I’ve got to get back to my morning clinical reasoning “work out”.

Lab Testing 52

Lab Testing Clinic Education Clinical Practice 52

PEMBlog

SEPTEMBER 6, 2023

When should the emergency physician obtain lab tests to medically clear such patients? These labs were not truly indicated, but it was common practice and viewed as “not a big deal.” These labs were not truly indicated, but it was common practice and viewed as “not a big deal.”

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

FEBRUARY 6, 2025

We now have biomarkers that can reasonably approximate the degree of amyloid build-up in the brain with a simple blood test. We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

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.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 9, 2023

So most of our medical schools have simulation centers. I think the first time I noticed it was, like as a medical student when you would rotate on one service with one attending and they would make decisions about how to treat a case one way. We use simulation all the time in training our physicians.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JULY 7, 2022

And then one day when I was in my third year of medical school, I was in the gym and I hurt my back in a really horrific way. I was helped into a wheelchair kind of rushed to the emergency room, which was not far away because I was on the medical school campus. I thought I couldn’t finish medical school.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106