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

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. Beyond time savings, ambient AI can enhance the quality of our patient interactions.

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 93

Patient-Centered Diagnosis Complication Community 93

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. There are multiple physical exam findings associated with ascites including: Bulging flanks (LR = 1.9) On exam, her vitals are T 38.6°C,

Clinic 52

Clinic Diagnosis Hypertension Patients 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. Ann Emerg Med. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 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

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. Establishing a Task Force to Reassess the Inclusion of Race in Diagnosing Kidney Diseases. This reminds us that using race as a catch-all can shroud other factors (ex. N Engl J Med.

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

GeriPal

MAY 11, 2023

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? If you’re physically active, you’re probably going to sleep better and your vascular stuff is better.

Physicals 86

Physicals IT Hypertension Education 86

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. It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result.

IT 121

IT Patient-Centered Patients Clinic 121

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. Soo 40:13 Yep.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. Devika: That’s right.

Complication 97

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 102

Community IT Individual Patient-Centered 102

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. Fever is a common indication that the body is fighting off infection.

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.

GP 100

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 130

Illness IT Diagnosis Patient-Centered 130

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

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. On clinical presentation.

Consulting 59

Consulting Individual Family Families 59

PEMBlog

OCTOBER 19, 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. This case was submitted by… A previously healthy 19-month-old male presented with lethargy and abdominal distention from an urgent care.

Screening 52

Screening Diagnosis Diagnose Management 52

GeriPal

JULY 21, 2022

Or somebody who has other physical cognitive problems at any age. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Somebody who’s older, maybe just diagnosed them with very mild dementia. Absolutely. Are you driving?

IT 102

IT Family Families Diagnosis 102

GeriPal

APRIL 3, 2025

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. Ken 26:17 You presented that. Eric 29:27 And initially the one we presented was like, what happens to people when they come to the hospital?

IT 65

IT Hospital Screening Patients 65

GeriPal

OCTOBER 17, 2024

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. Is your impression that HFpEFde is under diagnosed in older adults? Alex 45:43 Okay.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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. Lynn 31:56 One little detail that stood out to me, which really rang true to real life, was that caregivers were actually less present during visits in the video visits. So look for that.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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? But these tests were never designed to diagnose. Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

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. The best way to diagnose this is through imaging like CT scans.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. In many, many, many of these studies, they excluded people with severe mental health distress, so certain mental health diagnoses were exclusion criteria from a palliative care study. Eric: I love this. Fantastic place.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. Devika: That’s right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 13, 2024

We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it. But what I tell them is, keep yourself physically active. Keep yourself physically as active as possible. Is it just loss of.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. You present your. There is actually a Venn diagram that, that looks at the overlapping and intersecting dimensions of all of these. So that’s how. Just how you. Your gender.

Individual 82

Individual Community IT Chronic Condition 82

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

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? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.

Patients 110

Patients IT Family Families 110

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. No, I mean, I think I had the initial feeling or thought about this being present after I learned about it and were thoughtful with senior mentors about it. You just knew it? Thomas: Yeah, yeah.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. And oftentimes the existential landscape of serious illness, there’s no special thing. Oftentimes, it’s human presence that does the most healing. Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

FEBRUARY 9, 2023

They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them. Try to really understand what’s happening.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. I’m fully present. I mean, the fact is that intensive care, as you said, Alex, I mean we invoke it as a way of trying to, in a very intensive focused way, attend to people who are in physical, biologically in dire straits. I’m not distracted.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JANUARY 11, 2024

One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. Sonu: So that’s another layer to it that’s being discussed currently that’s not in the law. Eric: Bill. Bill: Yeah. And I think that you can actually see this if you view it as a public health issue for a second.

Illness 144

Illness IT Medical Provider 144

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. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural.

Illness 131

Illness IT Physicals Patients 131