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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. Management of SLD can be guided using a simple algorithm.

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Problem Representation

The Clinical Problem Solvers

A problem representation (PR, or Summary Statement) is an evolving, concise summary that highlights the defining features of a case , helping clinicians generate a focused differential diagnosis and identify the next steps in diagnosis and treatment. One more important point: the problem representation is dynamic.

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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. we’re more likely to test for a “can’t miss” diagnosis even if our pretest probability is very low), the morbidity of the treatment (e.g.

Clinic 52
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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.

Clinic 52
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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Would I’ve been able to reason my way to his underlying diagnosis from the initial data? I find it awe-inspiring to listen to clinicians pick up on subtle clues and use both intuitive and analytic reasoning to reach a final diagnosis.

Illness 52
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Arterial vs. Venous Ulcers of the Lower Extremity

Vascular Physician

Hypertension and smoking are two major risk factors that may damage the most inner part of the arteries called the intima, leading to local inflammation and fibrosis that increase the resistance of the vessels and therefore restrict blood flow. The area surrounding the wound maybe cool to the touch due to the lack of blood flow.

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Common Myths about Varicose Veins

Vascular Physician

Varicose veins often present as blue, rope-like vessels under the skin usually in the legs and feet. For proper diagnosis, a vascular specialist will complete a comprehensive evaluation that includes an ultrasound to detect varicose veins, evaluate blood flow and determine the efficiency of vein valves.