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Zen and the Art of Doctoring

A Country Doctor Writes

When a physician sits quietly, listening to a patient’s fears, or takes time to explain a diagnosis with care, they are practicing medicine with a Zen-like awareness—fully present, attentive to detail, yet attuned to the broader context of human suffering and resilience. The post below appeared within seconds.

Diagnosis 130
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Shaping First-Line Therapy Decisions in PsA

Physician's Weekly

It presents in different ways. It presents across multiple domains of disease. So for example, peripheral arthritis, enthesitis dactylitis, skin involvement, axial disease, no one PSA patient presents the same exact way. PSA, psoriatic arthritis is a heterogeneous disease. I like to say that damage begets damage, unfortunately.

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Where To Look

StorytellERdoc

A diagnosis of kidney (renal) cancer several years earlier had led this patient to having several bouts of chemotherapy and the subsequent great news of achieving remission. Her physical exam was concerning for the abdominal pain she complained of. As many of my fellow coworkers would confirm, this does not often happen.

Hospital 100
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Where To Look

StorytellERdoc

A diagnosis of kidney (renal) cancer several years earlier had led this patient to having several bouts of chemotherapy and the subsequent great news of achieving remission. Her physical exam was concerning for the abdominal pain she complained of. As many of my fellow coworkers would confirm, this does not often happen.

Hospital 100
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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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You don’t need X-Rays to tell if a child is constipated

PEMBlog

Constipation is a clinical diagnosis and does not require testing, yet as many as 70% of children who are given a diagnosis of constipation in the emergency department have an abdominal x-ray completed. The diagnosis of constipation should be made based on a good history and clinical exam.

Diagnosis 122
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A patient’s perspective: The evolving landscape of IBD

ABIM

and Globally IBD is no longer a rare diagnosis. Diagnostic delays, racial and ethnic health disparities, insurance barriers, and restricted access to appropriate treatments compound the emotional and physical burden of living with IBD. Not just because of the physical toll, but because I endured them in silence. In the U.S.,