The Clinical Problem Solvers

JUNE 12, 2022

The defining features of a case can include key or differentiating features (see more details and examples here ): Key feature : a feature that is present consistently and ideally exclusively in the condition. Differentiating feature : a feature shared among other similar conditions but not present in many diseases.

Diagnosis 52

Diagnosis Illness Clinic Diabetes 52

Annals of Family Medicine

NOVEMBER 20, 2024

Chronic exposure has been associated with diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy, and QT prolongation. This is the first study elucidating clinician knowledge on the risk and symptomatic presentation of patient arsenic exposure from well water.

Patients 130

Patients Routine Screenings Provider Internal Medicine 130

Vascular Physician

APRIL 22, 2024

Understanding High Blood Pressure High blood pressure, or hypertension, is a common medical condition in which blood pressure flows through the arteries with a force that is consistently higher than normal. Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient.

ER 52

ER Hypertension Primary Care Medical 52

The Clinical Problem Solvers

OCTOBER 23, 2019

Let’s practice with a case: You are called to admit a 72 year-old woman with hypertension, diabetes, and knee replacement seven days prior who presents with acute, pleuritic chest pain and dyspnea. As you walk down to the ER, you’re already creating a list of possible diagnoses in your mind.

Clinic 52

Clinic Diagnosis Diagnose Utilities 52

The Clinical Problem Solvers

FEBRUARY 9, 2020

A patient’s clinical presentation, risk factors, and the base rate of disease, in addition to our own clinical experience, all factor into the pretest probability we assign to any diagnosis. Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! To do that, we need to rely on LRs.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

Vascular Physician

APRIL 25, 2022

Hypertension and smoking are two major risk factors that may damage the most inner part of the arteries called the intima, leading to local inflammation and fibrosis that increase the resistance of the vessels and therefore restrict blood flow. The area surrounding the wound maybe cool to the touch due to the lack of blood flow.

Hypertension 40

Hypertension Diagnosis Diabetes Illness 40

Vascular Physician

FEBRUARY 23, 2020

PAD can remain asymptomatic for many years, but initial presentation may include various de-grees of intermittent claudication, or limb pain with exertion. Ultrasound and CTA can also be utilized to evaluate blood flow through vessels and narrowing of arteries. There are three types of gangrene: dry, wet, and gaseous.

Referral 40

Referral Hypertension Primary Care Utilities 40

Vascular Physician

JUNE 27, 2021

Varicose veins often present as blue, rope-like vessels under the skin usually in the legs and feet. Reducing salt intake since a high salt diet may lead to hypertension or narrowing of arteries. Varicose veins are common and often present as rope-like blue vessels typically in the legs or feet.

Primary Care Physician 52

Primary Care Physician Insurance Transportation Patients 52

The Clinical Problem Solvers

MAY 14, 2020

No prior history of atrial fibrillation – just hypertension and diabetes. The sheer prevalence of this condition raises the pretest probability dramatically, thereby diminishing the discriminatory effects of our tests and makes COVID-19 a realistic possibility in almost any presentation (whether it is causal or just incidental).

Illness 52

Illness Diagnosis Emergency Room Diagnose 52

The Clinical Problem Solvers

DECEMBER 16, 2020

Tsai has seen race-based medicine play out in clinical practice 10:45 What role should race play in making clinical decisions? 13:16 Status of the current conversation on removing race from eGFR calculators: why is it so contentious? Poet Marge Piercy has written, “The work of the world is as common as mud.”

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

GeriPal

MAY 11, 2023

And because we can’t resist, we dip into aducanumab and lecanemab at the end. AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast. Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Kristine: Yeah, yeah, yeah.

Physicals 86

Physicals IT Hypertension Education 86

FDA Law Blog

SEPTEMBER 15, 2022

FDA recommends including this information in the Drug Facts under the heading Other information, i.e., in the same sections as where sodium and potassium (if present) will be declared. For both draft guidances, it is unclear what induced FDA to publish these draft guidances now. FDA’s thinking on the format to be used is quite specific.

Manufacturing 45

Manufacturing Hypertension IT Provider 45

PEMBlog

JUNE 2, 2025

All kids with hypertensive emergency need ICU-level care. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. These neurological manifestations suggest hypertensive encephalopathy, a form of end-organ damage.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

Mesa Family Physician

MARCH 13, 2025

Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address. In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. Preventive care is most effective when it’s consistent and proactive.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

Today's Hospitalist

JUNE 7, 2025

They presented a rapid clinical update Webinar in May 2025 hosted by the Society of Hospital Medicine. Moreover, because obesity is a chronic disease, “anti-obesity medications should be continued long term, and we can’t stop these medications, just like we wouldn’t stop those for diabetes or hypertension.”

Hospital 66

Hospital Management Diabetes Patients 66

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So this is something. This is the plenary to attend. It is a sold out crowd. It is a standup crowd and it’s going to be a hard act to follow. Of course. We will step aside. Speaker 6 03:29 Andy.

IT 64

IT Hospital Screening Patients 64

GeriPal

OCTOBER 17, 2024

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 16, 2025

We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Tim 02:29 Yeah, it’s such an honor to make a song request. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

Tiny Physician

JULY 14, 2021

An IM expert can’t deal with all the diseases of pediatric population as some diseases are only present in pediatric population and vice versa. History of the presenting complaint will be given by the mother and you need to have a good rapport with the parents to obtain relevant details of the illness.

Internal Medicine 52

Internal Medicine Medical Student Medical Patients 52

GeriPal

FEBRUARY 20, 2025

Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Here we go.

IT 67

IT Patient-Centered Individual Screening 67

Family Medicine Initiative

APRIL 10, 2024

22 Family physicians are the sole care providers for 86% of hypertensive patients and for 71% of diabetics (based on 2.7 Each issue I addressed above would require a systematic review to present the available evidence entirely, which is not feasible for a blog post. Is that appropriate, or should it be the opposite?

Family Physician 130

Family Physician Families Family GP 130

GeriPal

DECEMBER 1, 2023

Alex: We’re delighted to welcome back Jason Karlawish, who’s a Geriatrician and Professor of Medicine at Penn and Director of the Penn Memory Center. He’s been on several podcasts about this issue. Jason, welcome back to GeriPal. Jason: It’s great to be back, Alex and Eric. Eric: Wonderful. laughter] Heather: Good point.

IT 116

IT Clinic Illness Hypertension 116

PEMBlog

DECEMBER 4, 2024

We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates. Learning Objectives Understand the clinical progression of pertussis through its three distinct stages and identify key symptoms, including age-specific presentations in infants and older children.

IT 52

IT Vaccination Diagnosis Complication 52