Notes from Dr. RW

Hospitalist resources and more.

Sunday, December 30, 2012

Drink coffee, cut your nasal MRSA carriage rate in half

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Hospital administrators takenote ---don't skimp on the coffee machines.
Saturday, December 29, 2012

Cellulitis and its mimics

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This review deals with several non-infectious mimics. Presentations of cellulitis which harbor more serious conditions such as nec fash...
Friday, December 28, 2012

Cardiac device therapy: ICD and CRT

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A comprehensive review in the Texas Heart Institute Journal covers standard indications (ischemic and non-ischemic cardiomyopathy), unusu...
Thursday, November 29, 2012

Yet another CAM promoting article in a mainstream medical journal

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The premise of this article seems to be that treatment choices should be based on perception and preference. What ever happened to evid...
Wednesday, November 28, 2012

A review of acute aortic regurgitation

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Free full text from Circulation . Key points: Acute severe AR may be difficult to recognize clinically and is often erroneously...
1 comment:
Tuesday, October 30, 2012

Whither the stethoscope?

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Due to the pervasive decline in the basic clinical skills of physicians and trainees the stethoscope has been relegated to the status of...
Monday, October 29, 2012

Autoinflammatory syndromes as causes of recurrent fever

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Familial Mediterranean fever is the prototype but many new variants are emerging as explained in this review .
Sunday, October 28, 2012

Bad science is no respecter of politics

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Is it fair to brand the right as anti-science and the left as pro-science? No. Did you know, for example, that Barack Obama said, co...
Thursday, August 23, 2012

An adult immunodeficiency disorder due to autoantibodies to interferon

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---as reported in NEJM .
Wednesday, August 22, 2012

Quick reference: serotonin syndrome

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From the Paucis Verbis series at Academic Life in Emergency Medicine .
Sunday, August 05, 2012

Guidelines at a glance---chest pain

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This is part of my ongoing attempt to alleviate guideline chaos for hospitalists, one guideline at a time. Here I will attempt a nuts-and-...
Thursday, July 12, 2012

Guidelines at a glance: the new ACCP guidelines on antithrombotic therapy (9th edition)

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The title to this post is a little deceptive. There's way too much content here to take in at a glance. In fact this post may go on re...
1 comment:
Tuesday, June 12, 2012

Leapfrog gets a bad report card

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--- from some of our nation's best hospitals . Their safety metrics are too subjective, according to some of the experts. I note, to...
Saturday, June 09, 2012

Bleeding and Pradaxa (and other novel anticoagulants)

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Bleeding on blood thinners is a common problem. Until recently the drill was straightforward. Not so much anymore. Enter the novel antico...
1 comment:
Friday, May 11, 2012

Cosmetic treatment of fever not warranted

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We practice in an era of outcome based medicine. It’s not enough anymore, at least when it comes to things like blood pressure and blood su...
2 comments:
Thursday, May 03, 2012

Dabigatran review

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From the Journal of Medical Toxicology . Concerning bleeding complications: However, no therapeutic agent has been accepted to reliab...

It's not just the QT interval, stupid!

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Traditionally we look to the QT interval to assess the risk of Torsades des pointes ventricular tachycardia when monitoring the effects of c...
Monday, April 30, 2012

Physostigmine for anticholinergic delirium?

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This piece from the folks at ToxTalk caught my eye. It's another example of medicine's swinging pendulum. It looks like physo has...
Friday, April 27, 2012

Handwritten (white board) video tutorials on topics in medicine

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I haven't examined the actual content but the topic list looks great. It's definitely worth a look . HT to Clinical Cases and Im...
1 comment:
Monday, April 23, 2012

Moderation and clean living: the legacy of Dr. Lester Breslow

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Profiled in NYT . Via Clinical Cases and Images .
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Robert W Donnell
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