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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.

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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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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 in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

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. However, the impact of such resources has not yet been deeply explored.

Asthma 52
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

I’m a dementia specialist, and so what I was experiencing was that many people were coming to see me to get a diagnosis of a very straightforward case of mild Alzheimer’s or moderate Alzheimer’s disease, whose doctors had told them there was nothing wrong with them or that their memory was better than my own, says the doctor.

Screening 119
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You don’t need labs to medically clear a psych patient

PEMBlog

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.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additionally, hydralazine is another agent that was previously utilized in pediatric hypertensive emergencies.