Tuesday, April 30, 2013

Negative CT to rule out SAH?

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We were optimistic , but not so fast according to this study .
Monday, April 29, 2013

Masquerading bundle branch block: what is it?

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Quite often one encounters a wide QRS in the dominant rhythm of the electrocardiogram which may have features of either or both bundle branc...
Sunday, April 28, 2013

Overuse of PICCs in CKD patients

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PICCs (or PICC lines to those suffering from the redundant acronym syndrome) have become popular because they offer a convenient option for ...
3 comments:
Saturday, April 27, 2013

Long term central venous catheter related infections: what to do?

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Remove? Treat through? Antibiotic lock? A practical review is presented here and the IDSA guidelines for IV catheter related infections i...
Friday, April 26, 2013

H7N9 influenza: the next pandemic?

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NEJM report and Medscape update .
Thursday, April 25, 2013

Cerebral vein thrombosis review

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From the paper : Dural sinus or cerebral venous thrombosis (CVT) is a frequently unrecognized cause of stroke affecting predominantly youn...
Wednesday, April 24, 2013

Alcoholic hepatitis

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An update . Free full text via Medscape.

Non-evidence based use of IVC filters

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Recent paper here in JAMA Internal Medicine. Variability may be driven by the paucity of high level data, variable resources at different ...
Tuesday, April 23, 2013

Does widespread ertapenem use breed resistance to the broader spectrum carbapenems?

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That's a popular concern but available evidence suggests it doesn't .
Monday, April 22, 2013

What makes a great diagnostician?

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Pause for a little metacognition by reading these tips . None of them will do you any good, of course, if you don't have enough time to...
Sunday, April 21, 2013

Idiopathic ventricular tachycardias

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Most are outflow tract tachycardias and most of those are right ventricular. They are unique in that while they tend to be benign they may ...
Saturday, April 20, 2013

Aspirin: should we add it to our pneumonia order sets?

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It has been known for a while now that pneumonia is a short term risk factor for acute coronary syndrome . So it recently occurred to some ...
Friday, April 19, 2013

Budd–Chiari update

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New review here (free full text provided by Medscape). Points of interest: Budd–Chiari syndrome is a rare disorder caused by hepatic veno...
Thursday, April 18, 2013

Precious bodily fluids honors William Stone

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Bill Stone is another member of that dying breed of physician-scientists and master clinicians. He was a nephrology attending at the Nashvi...

The asthma-COPD overlap syndrome

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ACOS, reviewed here . From the review: ACOS accounts for approximately 15–25% of the obstructive airway diseases and patients experience ...
Wednesday, April 17, 2013

Safe drug use in long QT and Brugada syndromes

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A review of two popular websites with links.
Tuesday, April 16, 2013

Patent foramen ovale in patients with obstructive sleep apnea

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According to this study it is common in patients with OSA and its coexistence is associated with more profound nocturnal desaturation. In ...
Monday, April 15, 2013

The fragmented QRS

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It indicates myocardial scar no matter what the underlying cardiac disease. I first blogged it several years ago and the field has since se...
Sunday, April 14, 2013

FFR guided PCI: does it really matter?

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We know it makes sense physiologically but does it make a difference in outcomes? A recent study suggests it does.
Saturday, April 13, 2013

D-dimer testing and aortic dissection

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How useful is it to exclude the diagnosis? According to one recent review : The sensitivty of D-dimer test for AD diagnosis is reported as...