Notes from Dr. RW

Hospitalist resources and more.

Friday, January 31, 2014

Management of patients hospitalized with asthma exacerbation

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This post draws from a talk given by Prescott Woodruff, MD, MPH at UCSF's 17th annual hospital medicine conference . Asthma subtypes The...

Destructive games involving doctors and patients

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I found particularly interesting in this review the list of destructive games played between doctors and patients: Wooden leg Possessing...

Mortality and choice of oral hypoglycemic

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Metformin wins, sulfonylureas lose. From a recent study : Methods We identified new users of oral hypoglycaemic medication monotherapy ...
Thursday, January 30, 2014

The Berlin definitions for ARDS

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Here is a recent review . The new classification removes the category formerly known as ALI. The definition also removes the quantitative a...

Takotsubo cardiomyopathy due to inhaled beta agonists

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Takotsubo cardiomyopathy (TC), in our current understanding, is a disorder of catecholamine myocardial toxicity. Early descriptions attribu...
Wednesday, January 29, 2014

Venous thromboembolism in cancer patients

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Though there is a relative lack of high level evidence regarding this condition we do know that it differs in important ways from VTE in the...

Approach to the hospitalized patient with altered mental status

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These are a few pearls from a talk by S. Andrew Josephson MD at UCSF's 17th annual hospital medicine conference . Dementia with Lewy bod...
Tuesday, January 28, 2014

The peri go-live period and patient safety risk

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It's something people don't want to talk about. For that matter neither do I, so just go and read this .

Noninvasive ventilation for acute severe asthma: is it appropriate?

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There are limited data, summarized in a recent review : Purpose of review The use of noninvasive positive pressure ventilation (NPPV) is...
Monday, January 27, 2014

Hantavirus twenty years later

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We've learned a great deal since the outbreak in the Four Corners region in 1993. Full text here .

Drug culprits in ANCA associated vasculitis

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It is increasingly appreciated that a positive ANCA and various associated clinical manifestations can be associated with certain drugs. Fr...
Sunday, January 26, 2014

Drug induced channelopathies

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Long QT, Brugada syndrome and short QT can be induced by drugs and the topic is covered in this review . Both cardiac and non cardiac drug...

Chemistry videos

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An assortment of videos generated automatically by You Tube's video discovery system.
Saturday, January 25, 2014

Takayasu arteritis

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Here's a Mayo Clinic series . The disease is rare. Diagnostic delay is characteristic because when the disease is encountered it tends...

Incidentally discovered pulmonary nodules

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Hospitalists encounter this situation all the time when chest CTs are done for other reasons. A nice summary post at ERCAST addresses the ...
Friday, January 24, 2014

Propofol infusion syndrome (PRIS)

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This is actually a case report of PRIS treated with ECMO but attached is a nice mini-review of the condition. The pathophysiology is comple...

The association of inflammatory myopathy with underlying malignancy

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Understanding of this association has increased in recent years. Here is an update , which contains several pearls. Free full text.  
Thursday, January 23, 2014

Extended infusion cefepime

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As compared to conventional dosing it appears to be associated with a marked reduction in mortality in Pseudomonas aeruginosa infections: ...

Capnography

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Learn all about it. Lots of resources here .
Wednesday, January 22, 2014

JNC 8: the minority opinion

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Several members of the panel disagreed with portions of the JNC 8 guidelines and expressed their concerns in this article in the Annals of I...
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Robert W Donnell
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