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? On hospital day #2, peritoneal fluid cultures returned positive for E.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

PEMBlog

SEPTEMBER 6, 2023

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).

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

JULY 19, 2024

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 120

Screening Primary Care Patient-Centered IT 120

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you. Eric: Either.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. We can’t possibly meet the needs of all people with newly diagnosed serious illness. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

PEMBlog

JUNE 2, 2025

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). 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

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. You won’t be able to diagnose them on history and physical alone.

Consulting 59

Consulting Individual Family Families 59

GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. Because people, they go to the hospital, then they revoke. Lauren: Oh.

Family 107

Family Families IT Patients 107

GeriPal

APRIL 14, 2022

And I remember being there and there was a patient who had seen inpatient and then subsequently outpatient who was so thankful in the weirdest in just this irrational way for having been diagnosed with liver cancer. I got one more lightning question, Janet, you’re at UCSF you’re caring for a patient in the hospital.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

SEPTEMBER 1, 2022

And we’ll tell you the scope of practice, and this is top of license, and this is how you can best utilize a social worker and, no, actually that skillset belongs over here.” And then my mom was diagnosed with lung cancer and she was treated there. Look, I’m in a line talking about grownups here. It’s good.

IT 102

IT Family Families Clinic 102

GeriPal

AUGUST 24, 2023

So tiny, tiny, in a hospital bed. The specifics of how it does that depend on the population in which it’s implemented, and the outcome measure that is utilized. We examine, we diagnose, we fix. To diagnose, to come up with a formulation, to be able to really get hold of the cause of this individual suffering.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery. In some cases, you may be referred to a hospital or specialty service. Instead, they establish a direct patient-provider relationship, for a flat fee.

DO 40

DO Family Medicine Family Families 40

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Jennifer 00:44 Thanks.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. Malaz: … to restrain them in the hospital. And I was terrified.

Patient-Centered 126

Patient-Centered IT Family Families 126

Physician's Weekly

JUNE 11, 2025

Kennedy comes to this memory cafe twice a month since being diagnosed with early onset Alzheimer’s disease in his late 50s. have been diagnosed with some form of dementia. ” The monthly budget goes toward crafts, books, coffee, snacks, and some utilities for the two-hour meetings. It’s hospitality.

Patients 52

Patients Family Families Diagnosis 52