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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. Of those patients with a BH referral and a chronic condition, hypertension was the most common (n= 2,053, 51%).

Referral 130
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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

Objectives Define pre and posttest probability Demonstrate the utility of pre and posttest probability in diagnostic reasoning Practice applying pre and posttest probability in clinical decision making What are Pre and Posttest Probabilities? The utility of each test is a product of the test characteristics and the clinical scenario.

Clinic 52
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Peripheral Artery Disease (PAD)

Vascular Physician

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

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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? Q: Is there portal hypertension? On exam, her vitals are T 38.6°C,

Clinic 52
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Our esteemed publications should ensure that investigations that utilize racial variables follow these guidelines before being published. Examining the Potential Impact of Race Multiplier Utilization in Estimated Glomerular Filtration Rate Calculation on African-American Care Outcomes. 2019;322(2):113-114. doi:10.1001/jama.2019.577

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

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.