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You don’t need X-Rays to tell if a child is constipated

PEMBlog

Special thanks to Dr. Stephen Freedman, from the University of Calgary, for reviewing this post as well – he brought some practical feedback to the table. The diagnosis of constipation or fecal impaction should be made primarily by history and physical examination, augmented by a digital rectal examination when indicated.

Diagnosis 123
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. Our esteemed publications should ensure that investigations that utilize racial variables follow these guidelines before being published. 2019;322(2):113-114. doi:10.1001/jama.2019.577

Clinic 52
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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

Special thanks to Todd Florin, MD, MSCE who contributed to this post – he is also an expert on respiratory and infectious emergencies. Evaluation of the utility of radiography in acute bronchiolitis. But it’s just a CXR right? However, the impact of such resources has not yet been deeply explored. Does this child have pneumonia?

Asthma 52
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Corporate Liability from Employee Diversion: Costly on Many Fronts

FDA Law Blog

The government alleged that Sovah failed to conduct a full physical inventory during this period which would have identified the pharmacy tech’s diversion exploiting that a non-utilized location was still in the computer system. DEA regulations require “adequate security” but do not specially require cameras in health care facilities.

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

GeriPal

So I think we’re poised now with the guide model and with the evidence we have about healthcare utilization, impact on caregivers, course of dementia, comorbidity management and all of that. Well, because they’re hard on people with dementia and they can be very hard on families, and they’re a form of crisis.

Screening 120
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Agitation Podcast Series Episode 2: Non-pharmacologic management of agitated children

PEMBlog

This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. Deaths due to physical restraint. Physical and chemical restraints. PMC3272587.

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How Doctors Can Save More and Do Less

The Motivated MD

Since these savings are so important, automated savings is another avenue to utilize. This way, you are always on track to meet your savings goals while limiting the physical and mental effort needed to get there. This is another aspect of your savings that needs to be addressed early. Set it and forget it!

Finance 52