Notes from Dr. RW

Hospitalist resources and more.

Friday, July 31, 2015

Genetic variants are associated with severe cutaneous reactions to phenytoin

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A number of SNPs were identified in this study : Design, Setting, and Participants Case-control study conducted in 2...
Thursday, July 30, 2015

Fruit and vegetable servings and mortality

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From a recent BMJ meta-analysis : Results Sixteen prospective cohort studies were eligible in this meta-analysis. Dur...
Wednesday, July 29, 2015

Volume controlled versus pressure controlled ventilation in ARDS

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Given that treatment needs to be individualized, there is insufficient evidence to tell whether one is better than the other...
Tuesday, July 28, 2015

Relationships between exercise, hunger and energy balance

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Interesting article in the American Journal of Lifestyle Medicine : High-intensity exercise causes a short-term supp...
Monday, July 27, 2015

What’s new in the management of acute severe asthma?

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From a recently published update : Recent findings: β2-agonist heliox-driven nebulization significantly increased by ...
Sunday, July 26, 2015

Exercise to improve cognitive function

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This review focuses on the cognitive impairment associated with heart failure. Neurophysiologic mechanisms are discussed. ...
Saturday, July 25, 2015

When hypersensitivity pneumonitis enters the fibrotic stage

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---it can mimic many other diffuse ILDs as outlined in this review . Via Hospital Medicine Virtual Journal Club . ...
Friday, July 24, 2015

Whole bowel irrigation for overdose patients

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A recent literature review found that it may facilitate removal in selected patients but is not supported by convincing evid...
Thursday, July 23, 2015

Exercise as treatment for depression

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From a JAMAClinical Evidence Synopsis : Bottom Line Exercise is associated with a greater reduction in depression sy...
Wednesday, July 22, 2015

Endurance exercise and atrial fibrillation risk

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From a recent review : Endurance exercise, despite a plethora of proven health benefits, is increasingly recognized a...
Tuesday, July 21, 2015

The toxic alcohol work up

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A case presentation and some tips from Emergency Physicians Monthly .
Monday, July 20, 2015

Is therapeutic hypothermia associated with more bleeding after cardiac arrest?

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Not according to this systematicreview and meta-analysis .
Sunday, July 19, 2015

Toxic epidermal necrolysis

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A brief review in the American Journal of Medicine. Free full text.
Saturday, July 18, 2015

TB or not TB? Tips for the evaluation of hospitalized patients

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Here is a recent update from CCJM.
Friday, July 17, 2015

Adult cases of group A strep meningitis

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From a recent report : RESULTS: GAS was identified in 26 of 1322 patients with community-acquired bacterial m...
Thursday, July 16, 2015

Is statin myalgia associated with decreased muscle strength?

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Not in this study .
Wednesday, July 15, 2015

Carbamazepine poisoning

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Here is a systematic review with a focus on extracorporeal removal. From the review: The workgroup concluded that carbama...

Tylenol and benadryl before transfusions

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Very commonly done but not evidence based in the least. If this is not on someone’s choosing wisely list it should be .

Sleep deprivation caused endothelial dysfunction

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---in this small study .
Tuesday, July 14, 2015

Tigecycline activity against Clostridium difficile

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New study here . Via Hospital Medicine Virtual Journal Club .
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Robert W Donnell
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