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Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

A Country Doctor Writes

A sore knee or an annual physical are like a closeup or a panorama. It may look something like this: 40 year old male has a normal routine physical. Or it may look like these examples: 60 year old male with hypertension, COPD and anticoagulated atrial fibrillation returns for followup. Dietary strategies reviewed.

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Drinking the Disease: Arsenic Exposure in Well Water from the Perspective of Patients and Providers [Social determinants and vulnerable populations]

Annals of Family Medicine

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
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Subclavian Steal Syndrome

Vascular Physician

Treatment Options Conservative management includes lifestyle changes such as smoking cessation, weight loss, and regular physical exercise. Medications to use include controlling dyslipidemia, hypertension, and diabetes along with antiplatelet therapy.

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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

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. There are multiple physical exam findings associated with ascites including: Bulging flanks (LR = 1.9) Q: Is there portal hypertension?

Clinic 52
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Common Myths about Varicose Veins

Vascular Physician

Varicose veins often present as blue, rope-like vessels under the skin usually in the legs and feet. Keeping your blood circulating with regular exercise or physical activity may alleviate some pain. Reducing salt intake since a high salt diet may lead to hypertension or narrowing of arteries.

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PEMPix 2024 Online Case #1: Mission: SPACE

PEMBlog

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. At that visit, his physical exam was normal. During this second ED visit, his physical exam including vital signs and mental status remains normal.

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Prevention of Dementia: Kristine Yaffe

GeriPal

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. Physical activity is a big one. But there are some things that we really think we can modify: the vascular risk factors, sleep, physical activity, maybe cognitive activity, and what kind of bang for the buck could we get?