Sunday, May 12, 2024

The patient with cirrhosis: poised to bleed or poised to clot?

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It turns out to be a little of both. A number of reviews have addressed this. [ 1 ] [ 2 ] [ 3 ]  Here are some of the key points: The old...
Saturday, January 20, 2024

Special circumstances where warfarin is favored over DOACs

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  When is warfarin favored over DOACs?  Valvular atrial fibrillation .  This term is becoming obsolete. For anticoagulation for stroke preve...

ACC atrial fibrillation guidelines 2023

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  A few key points from the 2023 atrial fibrillation guidelines American College of Cardiology New classification:  The old classification ...
Thursday, February 02, 2023

Autonomic dysfunction as a cause of cardiovascular disease

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  This free full text review focuses on neurodegenerative synucleinopathies and briefly, in addition, touches on other disorde...

Nucleic acid testing for viral pathogens in community-acquired pneumonia

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  The American thoracic Society has published a guideline for this in the American Journal of Respiratory and Critical Care Med...

Could aspergillus be hiding out in your critically ill patient?

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  An issue from the American Journal of respiratory and Critical Care Medicine contains two articles and a related an editorial...

Antimicrobial resistance in critically ill patients

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  This review focuses mainly on gram-negative bacteria. Although it approaches the problem in light of the covid-19 pandemic i...

ANCA testing in eosinophilic granulomatosis with polyangiitis (EGPA)

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  The American Journal of Respiratory and Critical Care Medicine published a consensus statement on the use of ANCA testing in...
Friday, July 08, 2022

Myths and facts in antibiotic stewardship

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The current issue of the American Journal of Medicine (the Green Journal) has an article titled Top Myths of Diagnosis andManagement of Infe...
Wednesday, June 15, 2022

Diagnostic time out

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What is a diagnostic time out? Succinctly defined, it’s a deliberate exercise in differential diagnosis and systematic clinical reasoning in...
Saturday, June 11, 2022

A little more on metacognition

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This article from Academic Emergency Medicine, published in 2002, remains applicable today. It makes the point that heuristics in medicine ...

Indulge me in a little metacognition

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I found an interesting post about cognitive shortcuts in medicine. I have a minor objection to the title of the post which is Cognitive Erro...