The Clinical Problem Solvers

MAY 20, 2020

Case Summary A middle-aged woman with a history of treated breast cancer and unspecified uveitis presented with subacute fever, arthralgias, and headache. A serologic test for Rickettsia rickettsii returned positive, confirming the diagnosis of “spotless” Rocky Mountain Spotted Fever.

Clinic 52

Clinic Internal Medicine Diagnosis Illness 52

PEMBlog

MAY 28, 2025

Below is a focused overview of key lupus-related emergencies, with attention to ED-relevant presentations, diagnostics, and treatment strategies. Renal Disease (Lupus Nephritis) Signs & Symptoms: Children may present with new-onset hypertension, edema, or decreased urine output. DVT symptoms or syncope may precede PE diagnosis.

Diagnosis 94

Diagnosis Hypertension Complication Referral 94

The Clinical Problem Solvers

MAY 6, 2020

[link] Dr. Avital O’Glasser presents a clinical unknown on Virtual Morning Report to CPSolvers, Jack and Reza. Case Summary A 31-year-old man with no prior medical problems presented with subacute abdominal pain, recurrent fevers, and weight loss. She enjoys spending time with her husband, two young boys, and labradoodle Matilda.

Internal Medicine 52

Internal Medicine Complication Hospital Diagnosis 52

PEMBlog

MARCH 4, 2025

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.

Patient-Centered 91

Patient-Centered Diagnosis Complication Community 91

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

JANUARY 21, 2025

The concurrent circulation of influenza, respiratory syncytial virus (RSV), COVID-19, and norovirus during peak viral seasons presents a diagnostic challenge in pediatric emergency settings. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

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

StorytellERdoc

MARCH 16, 2015

For example, recently I treated a 62 year-old retired kindergarten teacher who presented to our emergency department for a nosebleed. At times like this, then, I am glad to have our hard-working nurses and techs with me in the room to bear witness to such events. Suddenly, after a hard sneeze she started oozing blood from her nose. "I

IT 100

IT Patients Diagnosis Illness 100

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

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 83

Complication Patient-Centered Patients Clinic 83

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

OCTOBER 18, 2023

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.

Diagnose 59

Diagnose Diagnosis Illness Patients 59

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. Pediatrics.

Patients 52

Patients Illness Hospital Management 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 68

Patient-Centered Mental Health Management Finance 68

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

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. Ann Emerg Med. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. How do you maintain successful aging, which is often free of disease or illness or disability? Anyone with neurologic illnesses, I think all of you know, too much socialization is like, stop. It is progressive. There is no cure.

Community 101

Community IT Individual Patient-Centered 101

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. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

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

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. If they’ve said they had a traumatic experience receiving a diagnosis. Eric 00:43 All right, so we’ ve got a lot to cover on this topic. But before we do, we always have a song request. How are they feeling?

Illness 129

Illness IT Diagnosis Patient-Centered 129

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.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

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. Absolutely.

Primary Care 96

Primary Care Diagnosis Screening IT 96

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? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 101

Illness Mental Health IT Patient-Centered 101

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: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. What do we do with that?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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

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. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” How did you both get interested in this as a topic? Absolutely.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 23, 2023

In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. Anne Kelly: I was just going to add, and to some extent the idea, we have escorted many people through different stages of illness.

Family 98

Family Families Patient-Centered IT 98

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: Yeah.

Provider 117

Provider Illness IT Healthcare 117

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. So we’ve recruited 25 dyads, like I said, really close to their diagnosis.

IT 97

IT Patient-Centered Patients Board-Certified 97

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. And moreover, about 40% of those patients with POLST had last signed it or filled it out two years prior to that presentation.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

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. You present your. When you have, when you exist simply for being you, and then on top of that you have HIV AIDS as a diagnosis or substance use or what have diabetes, all of these will accelerate your aging.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JULY 11, 2024

We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both. And it’s usually those people that I’m seeing.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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? It can help prevent disability, or it can make a diagnosis and that’s it. There’s been concern, dating back at least, what? Gretchen: Yeah.

IT 128

IT Family Families Patient-Centered 128

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. What does this diagnosis mean to you? What are the ways that you can tell the story, the practice that you do?

IT 102

IT Family Families Clinic 102