Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
Find a Pearl
Leg Pain Pontification
Osteoarthritis is a clinical diagnosis driven by multifactorial structural and central pain mechanisms, where symptom severity often poorly correlates with imaging, and management remains stepwise with a focus on nonpharmacologic therapy and, if needed, topical NSAIDs. For suspected DVT, a structured approach using Wells criteria and age-adjusted D-dimer safely reduces unnecessary imaging, with recent prospective data supporting its reliability in low- to moderate-risk patients.