PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Recognize key diagnostic features that help differentiate Parvovirus B19 from other viral exanthems and systemic illnesses. Clinical Manifestations and Diagnosis of Parvovirus B19 Infection. UpToDate , Jun. UpToDate , Jun.

Complication 86

Complication Patient-Centered Patients Clinic 86

Vascular Physician

APRIL 25, 2022

Other risk factors affecting the elasticity and patency of arteries include uncontrolled diabetes, ill-fitting footwear, and advanced age. Due to the underlying necrosis, arterial ulcers typically present with a yellowish brown or black discoloration with a thin, pale, and dry border.

Hypertension 40

Hypertension Diagnosis Diabetes Illness 40

PEMBlog

SEPTEMBER 26, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the last of the four cases.

Patient-Centered 59

Patient-Centered Routine Screenings Diagnosis Clinic 59

The Clinical Problem Solvers

SEPTEMBER 13, 2021

Lisa Sanders, MD, founder and writer of the popular Diagnosis column for New York Times Magazine, and Laura Glick, MD, STUMP RR through a very exciting case. There will be exclusive schema(s) and/or illness script(s) with this episode for tier 2 and tier 3 Patrons. We hope you enjoy it as much as we enjoyed being stumped.

Diagnosis 52

Diagnosis Illness IT 52

PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients.

Patient-Centered 71

Patient-Centered Mental Health Management Transportation 71

PEMBlog

AUGUST 30, 2023

Many of the children you will evaluate during your shift are among the estimated 10 million United States (US) ED visits made by children with asthma, bronchiolitis, and croup, the most common pediatric respiratory conditions presenting to acute care settings.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

PEMBlog

SEPTEMBER 27, 2023

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion. JAMA Pediatr.

Patients 52

Patients Illness Hospital Management 52

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. And the presentation for GERD varies by age. Now there are some risk factors for GERD.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy: Thank you. Alex: Great.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

OCTOBER 13, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

Tiny Physician

FEBRUARY 15, 2022

This may result in errors in the diagnosis of the patient whom the doctor was examining initially. Despite pushing PG doctors to their limits, faculties have no shame in asking favors like helping them prepare presentations and write-ups to submit for journals. are not met.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. I loved it.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 128

Illness IT Diagnose Medical 128

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Dani, welcome back. Dani 01:17 Always a pleasure. Dani 01:30 The Pal.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Oh, wow.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. Look for Jenny to potentially appear on the show Americas Got Talent (no lie).

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Alex: Pink Cadillac by Bruce Springsteen?

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. Eloise, welcome to the GeriPal podcast. Eloise 00:47 Thanks so much for having me. I am super excited to have you on, Eloise. Alex 02:23 Terrific.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Four percent. It was amazing.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C.

IT 102

IT Family Families Clinic 102

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. Welcome, Karl.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. He looked very ill. Jane, welcome to the GeriPal podcast. John: I do.

Provider 117

Provider Illness IT Healthcare 117

PEMBlog

MARCH 27, 2024

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.

Consulting 59

Consulting Individual Family Families 59

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Summary Transcript Summary Think about the last time a patient yelled at you in anger. How did you react? Afterwards, I thought there must be a better way. Transcript Eric: Welcome to the GeriPal podcast.

Patients 109

Patients IT Family Families 109

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. A health services researcher and palliative care physician, Amber lauds the ability of simulation studies to isolate one variable in a study. Amber: I do. You know what?

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. Is that an issue for you? I’m happy to talk about it at any time.” And let me tell you, there’s nothing like the first time (sorry, I couldn’t help it!). Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79