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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). Outcome measures: Answers to the question, "What is your preferred way to manage your high blood pressure?"

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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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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

88% (n= 11,483) of BH referrals were created for the management of a mental health condition. 8% (n= 1,146) were ordered for medical condition management. Of those patients with a BH referral and a chronic condition, hypertension was the most common (n= 2,053, 51%).

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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.

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Lipodermatosclerosis

Vascular Physician

Etiology: a chronic form of stasis dermatitis resulting from venous hypertension that causes increased capillary permeability and allows leakage of fibrinogen and erythrocytes into the dermis. Diagnosis: clinical, often seen with other symptoms of venous insufficiency including venous varicosities, pitting edema and hyperpigmentation.

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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.

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