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Understanding components of Maternal Diet among those diagnosed with Gestational Diabetes and/or Hypertension in Flint, MI [Community based participatory research]

Annals of Family Medicine

Context: Gestational Diabetes Mellitus (GDM) and Gestational Hypertension (GHTN), each linked to poor maternal and infant health outcomes, affect an average of 5-10% of US pregnancies. Diagnosis for GDM and GHTN were at 31- and 26-weeks’ gestation, respectively. day) and total sugar intake (grams/day). Results: 16.5%

Diagnose 130
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Black Adult Perspectives on Managing Hypertension with Lifestyle Changes Alone, Medication Alone, or Both Simultaneously [Hypertension]

Annals of Family Medicine

Context: Nearly half of all US adults have hypertension. Objective: Describe Black adults’ preferences for managing hypertension. Population Studied: Black adults 18 and over with hypertension (N=209). Exactly 50% had heard of the DASH (Dietary Approaches to Stop Hypertension) eating plan and of those, 69% had tried it.

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Approach to steatotic liver disease in the office: Diagnosis, management, and proposed nomenclature

Canadian Family Physician

Objective To provide an update on the most recent developments regarding diagnosis and outcomes of steatotic liver disease (SLD), review new nomenclature applied to SLD, and provide an approach to the diagnosis and management of SLD. Diagnosis relies on noninvasive tests.

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Identifying Patients at High Risk for Falls using an AI/ML model [Geriatrics]

Annals of Family Medicine

Overtreatment of hypertension has been identified as a major risk factor for putting patients at risk for falls in patients with low blood pressures. Study Design: Secondary data analysis created a machine learning model that identified high risk patients potentially over treated for hypertension placing them at higher fall risk.

Patients 130
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

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? A LR > 1 increases the probability of a specific diagnosis. Is the ascitic fluid infected?

Clinic 52
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Subclavian Steal Syndrome

Vascular Physician

Type I – Antegrade vertebral flow is reduced Type II – Antegrade flow during diastolic phase and retrograde flow during systolic phase Type III – Permanent retrograde vertebral flow Diagnosis Diagnosis can be made using imaging such as duplex ultrasound of the subclavian and vertebral arteries.

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Lupus Emergencies in Children and Adolescents

PEMBlog

Renal Disease (Lupus Nephritis) Signs & Symptoms: Children may present with new-onset hypertension, edema, or decreased urine output. ED referrals are often prompted by incidental findings of proteinuria or hematuria, or clinical concerns for hypertensive encephalopathy or PRES. DVT symptoms or syncope may precede PE diagnosis.