Notes from Dr. RW
Hospitalist resources and more.
Tuesday, March 04, 2014
Target specific oral anticoagulants
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Here is another of the many reviews on this topic. Free full text.
TIA review
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Here is a free full text review in CCJM. TIA may be going the way of unstable angina in that its numbers are diminishing. That does not me...
Statin myopathy
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This review emphasizes that statin myopathy is heterogeneous, and discussed the newly appreciated necrotizing autoimmune variant which may ...
Monday, March 03, 2014
The prognosis of heart failure patients with recovered ejection fraction after beta blocker treatment
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From a recent paper : Methods and Results—We included in this analysis 174 consecutive patients with LVSD who had a LVEF greater than or e...
Got milk?
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What's the first thing you reach for on the crash cart when you glance at this ?
ECG findings in RVH and pulmonary hypertension
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Great discussions on the topic at Dr. Smith's ECG blog and EMS 12-Lead .
Sunday, March 02, 2014
SSRIs for stroke recovery
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A Cochrane review suggests they may be helpful even in patients who are not depressed.
Target specific (novel) oral anticoagulants: antidotes are in the pipeline
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Here is a summary of where things are.
Severe aortic stenosis and the risk of non-cardiac surgery
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Much of the research on this topic was done a decade or so ago. Based on this report it looks like the outcome has improved since then. S...
Point of care lung ultrasound in the critically ill
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Here’s a nice review in the Annals of Intensive Care.
Saturday, March 01, 2014
Review of IVC filters
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This topic was recently reviewed in Current Opinion in Cardiology . From the abstract: In the past 18 months, the American College of Ches...
Underappreciated causes of splenic rupture
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Surprising findings from a review in BMC Emergency Medicine.
Lemierre’s syndrome review
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This review is available as free full text. Though rare in the antibiotic era it seems to be occurring with increasing frequency for uncle...
Friday, February 28, 2014
Idiopathic pulmonary fibrosis: is there a viral link?
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From a fascinating paper in Modern Pathology: 21 paraffin-embedded lung biopsies from patients diagnosed with idiopathic pulmonary fibros...
Inflammation associated with instability of carotid atherosclerotic plaques
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Via Archives of Medical Science .
Ejection fraction is dynamic. What are the predictors of change?
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From a recent study : Background—Patients with heart failure (HF) are typically designated as having reduced or preserved ejection fractio...
Thursday, February 27, 2014
Ischemic preconditioning to reduce contrast induced nephropathy
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It proved effective in this study of patients at renal risk undergoing coronary angiography: Contrast medium–induced acute kidney injury ...
Impact of ertapenem on resistance patterns of higher generation carbapenems
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From a recent paper : Methods A retrospective time-series segmented regression analysis was conducted in a tertiary centre from January 20...
Octreotide: what the hospitalist needs to know
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A review of octreotide recently appeared in Chest. Octreotide is a synthetic analogue of somatostatin. An understanding of the biologic an...
Wednesday, February 26, 2014
ICU brain (long term cognitive defects after critical illness)
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It can be as bad as Alzheimer's according to this study by Vanderbilt researchers. There's an interesting discussion of the paper a...
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