Notes from Dr. RW

Hospitalist resources and more.

Wednesday, November 26, 2025

Review of mixed acid base disturbances

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 The following review was published in the American Journal of Kidney Diseases.    Mixed Acid-Base Disturbances: Core Curriculum 2025   This...
Tuesday, November 25, 2025

Acute upper GI bleeding: anything new?

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  This topic was recently reviewed in the article linked here: Acute upper gastrointestinal bleeding: state of the art review Some key point...
Wednesday, November 19, 2025

Pain management in patients with cirrhosis

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This topic was reviewed in an article in the February 2024 issue of the American Journal of Medicine, linked here: The Safe Use of Analgesic...
Monday, November 17, 2025

Tetanus review in Lancet ID

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 A recent review of the topic appeared in Lancet Infectious Disease, linked here: Tetanus: recognition and management General Tetanus is rar...
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...
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Robert W Donnell
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