Notes from Dr. RW

Hospitalist resources and more.

Saturday, August 30, 2014

Management of intracerebral hemorrhage following TPA for ischemic stroke

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If there are any effective reversal treatments there is no good evidence to guide their use according to a systematic review in JAMA Neurolo...
1 comment:
Friday, August 29, 2014

Clinical trials to see if nutty ideas work

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Don't laugh, because our tax money has been paying for such “research” for years. A recent paper outlines a little of the history, giv...
Thursday, August 28, 2014

Dean Ornish on lifestyle medicine

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The idea behind lifestyle medicine, that a multifaceted program of hygienic (non pharmacologic) measures can help prevent or even treat many...
Wednesday, August 27, 2014

A new wave in the uprising against maintenance of certification (MOC)

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R. Mack Harrell, MD, president of the American Association of Clinical Endocrinologists (AACE), told Medpage Today that MOC in its present ...

New York Times piece on Pradaxa (dabigatran)

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It seems the folks at BMJ think they've uncovered a scandal in the approval and launch of Pradaxa. (What they actually “uncovered” was ...
Tuesday, August 26, 2014

Antimicrobial treatment of infective endocarditis: an update

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Article at journal site . Full text via Medscape .
Monday, August 25, 2014

Undetectable high sensitive troponin I in PE

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Associated with favorable prognosis in this study , and the potential for outpatient treatment. Via Hospital Medicine Virtual Journal Club...
Sunday, August 24, 2014

On role modeling

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In a really interesting read in the journal Academic Medicine Dr. Jochanan Benbassat explains that role modeling, though vaguely defined an...
1 comment:
Saturday, August 23, 2014

Filtered resources versus Google to answer clinical questions

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Which approach is better? Findings from a recent study might come as a surprise: Method: In 2011 and 2012, 48 internal medicine interns ...
Friday, August 22, 2014

Proton pump inhibitors and the risk of spontaneous bacterial peritonitis

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From a recent study : Aim To determine whether PPI use increases the risk of SBP using a large cohort. Methods This retrospective ...

AKI related to cardiac surgery

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An article link and concept map at Nephron Power .
Wednesday, August 20, 2014

Alcohol induced hypertension

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Free full text review .  
Tuesday, August 19, 2014

Markers of fitness and all cause mortality

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This study looked at outcomes of a population of patients with no known cardiovascular disease who underwent exercise testing. We wouldn...
Monday, August 18, 2014

Update on valvular heart disease

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A concise free full text review in the American Journal of Medicine.
Sunday, August 17, 2014

RCT of dexmedetomidine for severe alcohol withdrawal, as adjunctive to benzodiazepines

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This is the first RCT I know of looking at dexmedetomidine for alcohol withdrawal: Design:  Prospective, randomized, double-blind, pl...
Saturday, August 16, 2014

Macrolides and mortality in critically ill patients with community acquired pneumonia

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From a recent systematic review and meta-analysis : Conclusions:In observational studies of almost 10,000 critically ill patients wit...
Friday, August 15, 2014

The inappropriate conflation of medical stewardship and distributive justice

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This piece from a few months ago in the Southern Medical Journal challenges the group think of today's policy makers. It's a must...
2 comments:

Heparin induced thrombocytopenia (HIT): the essentials

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Well summarized in this little blurb .
Thursday, August 14, 2014

Graves orbitopathy

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From a recent review : Graves orbitopathy (GO) is an autoimmune disorder representing the most frequent extrathyroidal manifestation ...
Wednesday, August 13, 2014

ACC membership survey on MOC

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Via Dr. Wes : Nearly 90 percent of respondents opposed the changes to the American Board of Medical Specialty (ABMS)/American Board of Int...
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Robert W Donnell
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