Thursday, April 09, 2015

More on the American Board of Internal Medicine and maintenance of certification

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Yesterday I linked to the latest Newsweek piece on the ABIM and MOC.  It was a follow up to an earlier Newsweek piece which you can access ...

CKD and hypoglycemia

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CKD is emerging as a risk factor for hypoglycemia in diabetic patients. Here's a nice discussion at Mayo Clinic Proceedings .  
Wednesday, April 08, 2015

Another Newsweek story on maintenance of certification

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This one is shocking . Worse than even I thought.   More from Dr. Wes.  A big part of this whole discussion has been whether doctors, o...

Calcium channel blockers given to patients with heart failure and preserved EF

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---were not associated with harms in this study .
Tuesday, April 07, 2015

Cardiorenal syndrome and decongestion in acute decompensated heart failure (ADHF)

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A recent review on this topic is available as free full text here . Here are some key points that emerge from this review: With a few notabl...
Monday, April 06, 2015

Carbapenem-resistant Enterobacteriaceae: treatment options

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The treatment approach to this problem continues to evolve. This is from a recent update : Recent findings: Retrospective and prospective...
Sunday, April 05, 2015

Elevated blood pressure in hospitalized patients

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Conclusions from a recent article in ACP Hospitalist : Hypertension has not been clearly defined in the hospital setting. The current defi...
Saturday, April 04, 2015

A new proposed mechanism for how obesity drives hypertension and other cardiovascular complications: the lowered natriuretic peptide setpoint

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It's been known for quite a while that BNP and proBNP levels tend to be low in obese patients, even in heart failure . It is also well ...
Friday, April 03, 2015

Bare metal versus drug eluting stents and hospital outcomes

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The American Journal of Cardiology recently published these findings from a large database: A total of 665,804 procedures were analyzed,...
Thursday, April 02, 2015

Pulmonary manifestations of Behçet's syndrome

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From a recent update in Current Opinion in Rheumatology: Purpose of review Pulmonary artery involvement (PAI) due to Behçet's syndro...
Wednesday, April 01, 2015

Beta blockers: what is their role in the management of stable coronary disease today?

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From a review in the American Journal of Cardiology: Considerable progress has been made over the last few decades in the management of c...
Tuesday, March 31, 2015

Imaging the asymptomatic limb in evaluation for DVT

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---was rarely helpful in this study . Via Hospital Medicine Virtual Journal Club .
Monday, March 30, 2015

Asthma management

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Here's a great summary form S.O.A.P.
Sunday, March 29, 2015

Obesity and asthma: a unique phenotype

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From Current Opinion in Pulmonary Medicine : Recent findings Clinical and epidemiological studies indicate that obese patients with asth...
Saturday, March 28, 2015

Risk factors for aortic disease

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From a recently published analysis : Background Community screening to guide preventive interventions for acute aortic disease has been re...
Friday, March 27, 2015

Unpacking the benefits of almonds

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From a recent study : Methods and Results In a randomized, 2‐period (6 week/period), crossover, controlled‐feeding study of 48 individuals...
Thursday, March 26, 2015

Left atrial appendage closure

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This article in CCJM reviews the evidence, with a focus on the transcutaneous devices. The evidence from clinical trials is somewhat mixed...

The electrocardiographic findings in massive or submassive PE: it's not just S1Q3T3!

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The pattern and timing of T wave inversion can also be helpful as discussed here and here at the EMS 12 Lead blog. As Henry J. L. (Barney)...

ECMO: what the hospitalist needs to know

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Why would a hospitalist need to know about ECMO? The applications are expanding rapidly. Hospitalists are increasingly likely to be involv...

Arterial lines: evidence based or not?

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In this large propensity-matched cohort analysis no mortality benefit was seen.