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You don’t need X-Rays to tell if a child is constipated

PEMBlog

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Diagnosis 122
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Using technology to reclaim our time

Today's Hospitalist

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. At its core, the technology utilizes sophisticated speech recognition to transcribe a conversation in the exam room or at the bedside. That’s the essence of ambient dictation.

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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? There are multiple physical exam findings associated with ascites including: Bulging flanks (LR = 1.9)

Clinic 52
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. education, income, number of previous hospitalizations) that also lead to clinical outcomes, not only race-based stratification. 2019;322(2):113-114. doi:10.1001/jama.2019.577

Clinic 52
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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

IT 124
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You don’t need labs to medically clear a psych patient

PEMBlog

They carry existing diagnoses and are followed by outpatient mental health providers. In those without psychosis, those with likely psychosocial issues, especially those with a prior history of psychiatric diagnoses, and with reassuring history and exam, lab tests are not necessary to exclude a medical condition. Health Aff (Millwood).

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months. It can’t be diagnosed and adios.

Screening 119