The Journal of family practice
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Meta Analysis Comparative Study
Can family physicians accurately screen for AAA with point-of-care ultrasound?
Likely yes. Point-of-care ultrasound (POCUS) screening for abdominal aortic aneurysm (AAA) by nonradiologist physicians is 98% sensitive and 99% specific, compared with imaging performed by radiologists (strength of recommendation [SOR]: B, meta-analysis of diagnostic accuracy studies mostly involving emergency medicine physicians). European family physicians demonstrated 100% concordance with radiologist readings (SOR: C, very small subsequent diagnostic accuracy studies).
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• Collaborate with patients to inform treatment decision-making that addresses their symptoms, goals, and concerns • Individualize guideline-recommended therapy to reduce chronic obstructive pulmonary disease (COPD) exacerbations, improve lung function, manage daily symptoms such as breathlessness, and help achieve the patient's goals • Select an inhaler and an optimal dose of medication to best meet a patient's needs and capabilities.
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Intensifying hypertension regimens at discharge increases risk in older patients.
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This case reminded us that not every moist, erythematous, crusting eruption is purely infectious.
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USPSTF findings would support screening selective populations at risk for deficiency. But the value of supplements for prevention is nil or still unknown.