Notes from Dr. RW

Hospitalist resources and more.

Friday, August 21, 2015

American Heart Association's Cardiology Patient Page takes an uncritical view of chelation

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The article opens: Don’t cringe when you hear the term chelation (key-LAY-shun) therapy. If you have heard about it at all, you may have ...
Tuesday, August 18, 2015

The obesity-asthma link

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From a recent review : Recent findings: Clinical and epidemiological studies indicate that obese patients with asthma may rep...
Sunday, August 16, 2015

The emerging link between obesity and kidney disease

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From a recent review : It is well established that excessive caloric intake contributes to organ injury. The associat...
Saturday, August 15, 2015

The asthma-COPD overlap syndrome (ACOS)

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From a recent update : Purpose of review: Some individuals share characteristics of asthma and chronic obstructive pu...
Friday, August 14, 2015

Strategies for reduction in hospital readmissions---what does the evidence say?

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From a recent review (free full text): PRACTICE RECOMMENDATIONS › Use risk stratification methods such as th...
Thursday, August 13, 2015

Proton pump inhibitors and esophageal varices

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From a systematic review : Data Synthesis: Of 1156 studies, 20 were included after assessment. There was wide methodo...
Wednesday, August 12, 2015

Pneumonia as a cardiovascular risk factor

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Pneumonia increased short and long term risk for cardiovascular events in two databases, published here . This is not ...
Tuesday, August 11, 2015

Microvascular angina

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I can remember when decades ago this was often referred to, due to its mysterious nature, as syndrome X. That term is now le...
Monday, August 10, 2015

MSSA bacteremia: cefazolin versus cloxacillin

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From a recent study : RESULTS: Of 354 patients included in the study, 105 (30%) received cefazolin and 249 (70%) ...
Sunday, August 09, 2015

Accidental over correction of hyponatremia during volume resuscitation

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You have a patient in the ER in septic shock. You are about to administer resuscitation fluid but notice that the patient is...

Interventions for mild cognitive impairment

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From a recent JAMA paper : Evidence Acquisition We searched PubMed for English-language articles in peer-reviewed jo...
Saturday, August 08, 2015

Shrinking contraindications to metformin

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From a study in JAMA : Objective To assess the risk of lactic acidosis associated with metformin use in individuals ...
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Friday, August 07, 2015

What is excessive ST segment discordance in LBBB?

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There is a law of proportionality that applies. Via Dr. Smith's ECG blog .
Thursday, August 06, 2015

Isolated cardiac sarcoidosis

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This entitity is being increasingly recognized. Diagnostic difficulties are discussed in this review . Via Hospital M...
Wednesday, August 05, 2015

Hypothyroid myopathy

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This case reportand brief review focuses on the rare variant Hoffmann syndrome.
Tuesday, August 04, 2015

Humanities versus science in premed education: Does it matter?

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From a recent systematic review : Results: A total of 1,548 citations were identified with 20 papers included in the ...
Monday, August 03, 2015

High sensitivity troponin T as a marker for diuretic response in acute decompensated heart failure

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Elevations are seen in a large number of acutely decompensated patients. The biomarker was analogous to proBNP in this study...
Sunday, August 02, 2015

Hashimoto’s encephalopathy

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This is an entity you may not think of. Via Hospital Medicine Virtual Journal Club .
Saturday, August 01, 2015

Gila monster envenomation

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From a poison control database : Results. A total of 319 calls regarding Gila monsters were identified in the NPDS. Of these,...
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...
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Robert W Donnell
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