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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

Launched in 2017, Project ECHO Rheumatology (‘ECHO’) has welcomed over 500 primary care clinicians provincially to learn about rheumatic disease diagnoses and management. Clinicians from rural and Northern Ontario particularly benefited as access to specialists in their areas was sparse to none.

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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

The context: Immigrants, particularly those moving from lower to higher-income countries, often exhibit a heightened susceptibility to non-communicable diseases, such as Type 2 diabetes (T2D), which may manifest at an earlier age and present with different complications compared to the native population.

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Advancing Biomarker Validation for Drug Hypersensitivity

Physician's Weekly

Biomarkers for drug-induced immune reactions aid clinicians in diagnosing, risk-stratifying, and managing diseases. But the varied mechanisms and clinical presentations of drug hypersensitivity reactions (DHRs) can make diagnosis and treatment challenging, and most biomarkers still require validation.

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Postural Sway Velocity Effective for Assessing Diabetic Peripheral Neuropathy

Physician's Weekly

Several sessions included presentations on diabetic peripheral neuropathy (DPN), such as the Peter J. In one study that was not presented at the PNS annual meeting, the researchers aimed to assess whether evaluating balance and gait could serve as a viable screening tool of DPN. Dyck Lecture on mechanisms of diabetic neuropathic pain.

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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

For our first post, we are going to talk about two concepts that help us decide whether we treat, test for, or toss specific diagnoses (i.e., Let’s practice with a case: You are called to admit a 72 year-old woman with hypertension, diabetes, and knee replacement seven days prior who presents with acute, pleuritic chest pain and dyspnea.

Clinic 52
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You don’t need X-Rays to tell if a child is constipated

PEMBlog

Use of abdominal radiographs to diagnose constipation has been associated with increased diagnostic error, possibly due to the cognitive bias of search satisfaction. In a portion of cases a false diagnosis is given of constipation resulting in missed diagnoses and increased return visits. 2017;186:87-94.e16. PMID: 28457526.

Diagnosis 122
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Shaping First-Line Therapy Decisions in PsA

Physician's Weekly

It presents in different ways. It presents across multiple domains of disease. So for example, peripheral arthritis, enthesitis dactylitis, skin involvement, axial disease, no one PSA patient presents the same exact way. PSA, psoriatic arthritis is a heterogeneous disease. And so that leads to a lot of frustration appropriately.