PEMBlog

MAY 28, 2025

Below is a focused overview of key lupus-related emergencies, with attention to ED-relevant presentations, diagnostics, and treatment strategies. Renal Disease (Lupus Nephritis) Signs & Symptoms: Children may present with new-onset hypertension, edema, or decreased urine output. Avoid transfusion unless clinically necessary.

Diagnosis 94

Diagnosis Hypertension Complication Referral 94

Tiny Physician

JULY 12, 2021

Patient load Image taken from [link] Ward management is as important as ICU care and you spend around 12 to 14 months at the ward in the 36 months long residency. It’s important to see atypical presentations of common disease and typical presentations of a rare disease as these two are the challenges that we face while practicing.

Internal Medicine 52

Internal Medicine Management ER Referral 52

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. 1) Mild symptoms should be managed conservatively with lifestyle changes, risk factor modifications (e.g.,

Referral 40

Referral Hypertension Primary Care Utilities 40

PEMBlog

MAY 20, 2025

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. They’re not just the test referral center. And the other people that are really smart and amazing and wonderful are radiologists.

Family 101

Family Families Hospital Patient-Centered 101

Tiny Physician

FEBRUARY 15, 2022

3], it was found that the resident doctors have to do multiple works simultaneously during their shifts and there had been multiple interruptions while doing each task which could result in errors in patient management. Jishnu Janardhanan (Resident Doctor) In a study done by Patricia et al. [3], patients show their frustration at doctors.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

PEMBlog

OCTOBER 2, 2024

Understanding dyspepsia and its clinical presentation. The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Gastroesophageal Reflux: Management Guidance for the Pediatrician. Both conditions can present with similar symptoms.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And while it is not an RCT and there really aren’t RCTs about pain management in CKD, there’s just so little known about mechanisms of pain in CKD that we’re just not there yet.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JANUARY 30, 2025

And I would say we weren’t doing training on symptom management, for example. And then there was a lot of stuff on coping and symptom management. We would make referrals to psycho oncology. I would make referrals to Joe as well as part of the team. Lynn 15:55 Well, it’s a good. And well skilled. So it matters.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 22, 2024

Because often what we hear from patients, “I do a lot of pain management research,” but mood comes up in that a lot, is that, “Oh, I don’t want to talk to my doctor about this. And then the NCCN now has a similar guideline requiring comprehensive distress management for their accreditation in cancer centers.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

PEMBlog

JANUARY 16, 2025

Well dive into the clinical presentations, including acute and chronic symptoms, the dangers of sudden sniffing death, and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Ganetsky M (ed).

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. So, you know, I just wanted to present a couple options and give you a sense of, you know, the background for both. How much of your training was focused on managing substance use disorder training and palliative care?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. Mazie, I know it changes locale to locale, because your referral sources are going to be different.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

OCTOBER 17, 2024

If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist? Eric 14:10 Yeah. Eric 19:32 And I love this.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. So I get all the referrals from my great colleagues in primary care. And I gotta manage their blood pressure and their diabetes meds. Nate 14:25 Oh.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And while it is not an RCT and there really aren’t RCTs about pain management in CKD, there’s just so little known about mechanisms of pain in CKD that we’re just not there yet.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. It meets in-person, once a month, over nine sessions. link] Transcript Eric: Welcome to the GeriPal podcast.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JULY 21, 2022

And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. ” So a lot of times it’s a referral back to their primary care, to a specialist-. It’s like breaking bad news in palliative care. Absolutely.

IT 102

IT Family Families Diagnosis 102

Family Medicine Initiative

APRIL 10, 2024

Adherence to medical advice improves and unnecessary self-referrals to other doctors decrease. GPs Improve Chronic Disease Management We live in a world of aging populations, with rising chronic diseases, multimorbidity, and polypharmacy. GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

AUGUST 24, 2023

We published a nice piece, I think it was in the Journal of Pain and Symptom Management. I’m fully present. So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy. We began this here in Winnipeg. I’m not distracted. ” Eric: Yeah.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. It improves symptom management. Physicians often not present except for an occasional monthly visit. But what we wanted to do was to control for regional … what’s that called? Of intensively hand feeding?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. And that referral can be done in real time, a soft handoff. Eric: And Susan? And then, we have nonprofits that are community-based organizations.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

FEBRUARY 24, 2022

Get the hospice referral. But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself. And I think a lot of times when we get consulted, we’re asked for the outcome, right? We want to get the DNR, right?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So we got a lot to cover on sexuality, sexual health, and serious illness.

Illness 130

Illness IT Physicals Patients 130

PEMBlog

MAY 9, 2024

Do All Children Who Present With a Complex Febrile Seizure Need a Lumbar Puncture? So what’s the evaluation and management for simple febrile seizures? How do we evaluate and manage them? And so briefly, let’s talk about that neurology referral and follow up. Ann Emerg Med. 2017 Jul;70(1):52-62.e6.

Illness 59

Illness Vaccination Family Families 59