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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

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. As you walk down to the ER, you’re already creating a list of possible diagnoses in your mind.

Clinic 52
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Prescribing Red Flags and Suspicious Controlled Substance Orders: Current Cautionary Tales

FDA Law

12, 2012). “[W]hen the circumstances surrounding the presentation of a prescription would give rise to suspicion in a ‘reasonable professional,’ there is a duty to question the prescription.” Prescriptions Containing No Diagnosis or Intended Use Controlled substance prescriptions issued with a non-specific diagnosis or no diagnosis.

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Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

PEMBlog

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. We know that nine out of ten children that go to the ER do not go to children’s hospital ERs. and it can be overwhelming.

Families 101
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Anxiety in Late Life and Serious Illness: A Podcast with Alex Gamble and Brianna Williamson

GeriPal

If they’ve said they had a traumatic experience receiving a diagnosis. And so in terms of, am I looking to put a DSM diagnosis to someone? What would be the benefit to myself, or hopefully for them to add a DSM diagnosis? Eric 21:58 I think for the coding, your encounter with a diagnosis. I wonder why?

Illness 130
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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. I’m originally an ER physician. Jenny 04:15 Good question. I forgot about.

IT 98
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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatr Rev.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. In our larger studies, before the study that Tacara helped lead, we never required family members to be present, or do work. Annals of Int Med. This is Eric Widera.

Hospital 115