Today's Hospitalist

MAY 9, 2025

By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction. We have seen explosive growth and become a cornerstone of modern health care systems. This isn’t about replacing your clinical judgment.

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

PEMBlog

MARCH 4, 2025

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.

Patient-Centered 91

Patient-Centered Diagnosis Complication Community 91

PEMBlog

OCTOBER 17, 2023

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone.

Diagnosis 69

Diagnosis Diagnose Clinic Patients 69

PEMBlog

OCTOBER 16, 2023

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. During that initial visit, her physical exam was notable for generalized abdominal tenderness. She was diagnosed with constipation.

PCP 69

PCP PCP Diagnosis Diagnose 69

The Clinical Problem Solvers

FEBRUARY 9, 2020

A patient’s clinical presentation, risk factors, and the base rate of disease, in addition to our own clinical experience, all factor into the pretest probability we assign to any diagnosis. Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! To do that, we need to rely on LRs.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. But then there is incontinence, which is the same term, same word, but actually presents as a geriatric syndrome. On our last podcast about urinary incontinence the song request was, “Let it go.” I do like that one.

IT 120

IT Patient-Centered Patients Clinic 120

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?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MAY 11, 2023

And because we can’t resist, we dip into aducanumab and lecanemab at the end. AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song?

Physicals 85

Physicals IT Hypertension Education 85

The Clinical Problem Solvers

DECEMBER 16, 2020

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. Tsai has seen race-based medicine play out in clinical practice 10:45 What role should race play in making clinical decisions?

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

PEMBlog

SEPTEMBER 24, 2024

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. He initially presented to his pediatrician two months prior with 10 days of cough and unexplained fevers. This is the second of the four cases.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

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Complication Patient-Centered IT Patients 97

GeriPal

DECEMBER 2, 2022

In fact, for some individuals the dementia is a gift, with the loss of memory for what might have upset you 20 minutes ago, and so we see people who come in and they are presented with TimeSlips’ engagement activity, or some other kind of arts activity, or a conversation with Ab, and somehow what had been distressing them has faded away.

Community 101

Community IT Individual Patient-Centered 101

Rao Doctor

APRIL 3, 2025

One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. In my previous article I covered the types of illness and the causes.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Adventures of a Sick Doctor

JUNE 5, 2021

The CEO, Susan Clyne, began to present the findings from a recent survey about doctor’s wellbeing. In fact I was scared, and worried and uncertain, and it manifested in physical symptoms of dyspnoea, tachycardia and headrush. When I was diagnosed with advanced cancer it was easier. I went back to the Red Door.

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GP Screening Mental Health IT 100

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows. Vicki 02:10 Thank you.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 17, 2024

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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.

IT 102

IT Families Family Diagnosis 102

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So this is something. This is the plenary to attend. It is a sold out crowd. It is a standup crowd and it’s going to be a hard act to follow. Of course. We will step aside. Speaker 6 03:29 Andy.

IT 64

IT Hospital Screening Patients 64

GeriPal

JUNE 19, 2025

Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast. Jace 00:37 Thank you so much, Alex and Eric, it’s nice to be here with you. Eric 01:21 Why’d you choose this song?

Individual 81

Individual Community IT Chronic Condition 81

PEMBlog

JUNE 2, 2025

In the case presented, the patients blood pressure was significantly elevated, and she exhibited symptoms indicative of end-organ involvement, including altered mental status, headache, and nausea. Additional lab testing can be completed to account for the broader differential diagnoses.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

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Primary Care Diagnosis Screening IT 95

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

PEMBlog

MARCH 27, 2024

As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Therefore understanding these diseases, their presentations and their evaluation is critical for emergency medicine providers. But now I’m going to pass the mic.

Consulting 59

Consulting Individual Families Family 59

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Complication 52

Complication Patient-Centered IT Patients 52

PEMBlog

DECEMBER 14, 2023

But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically. So stridor may be present in these infants, but it doesn’t typically change with position. Laryngomalacia, is the most common cause of infant stridor. 2005 Nov;128(5):3391-7.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? As Keri put it in the podcast, we must go beyond “a hammer and a nail” philosophy to approaching anger by developing a toolkit for anger that is vast and varied. Is that you Dani? Dani: It is me. Dani: It’s true.

Patients 109

Patients IT Families Family 109

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Alex: Great.

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IT Community Patient-Centered Medical 99

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Today we talk with Josh about how to anticipate and avoid the uncanny valley. And talk about times when we’ve fallen into it. . Key message: Listen to the music. All the time. ;). We’ll have links to it.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. It is the slippery slope made real. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 9, 2023

Additional links to simulation studies: [link] [link] [link] [link] [link] Theoretical underpinnings: [link] Transcript Eric: Welcome to the GeriPal Podcast. We’re going to define what that is and how it applies to the work that we do. But before we go into that, Amber, I think you got a song request for Alex. Amber: I do. You know what?

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

PEMBlog

JUNE 5, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.

Patient-Centered 52

Patient-Centered Patients IT Hospital 52

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. I’m happy to talk about it at any time.” Areej welc ome back to GeriPal. Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130