Notes from Dr. RW

Hospitalist resources and more.

Friday, June 03, 2016

Overview of hairy cell leukemia

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From a recent review article : Since the first clear description of HCL by Bouroncle in 1958 there has been a step c...
Thursday, June 02, 2016

What is meant by gastrointestinal failure in critical illness?

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From a recent review : Recent findings: Different ways to define gastrointestinal failure have been used in the past...
Wednesday, June 01, 2016

Fixed dose 4-factor PCC for emergent warfarin reversal without waiting for the INR

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It seemed to work well in this study .
Tuesday, May 31, 2016

Eosinophilic esophagitis: clinical features

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From a recent review article : Eosinophilic esophagitis (EoE) may affect humans at any age with a predominance for C...
Sunday, May 29, 2016

A field guide to ECG lead misplacement

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The electrocardiographic patterns produced by ECG lead misplacement are summarized in this paper . Chest lead misplac...
Saturday, May 28, 2016

ECCO2R in patients with COPD

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From a recent review : We identified 3123 citations. Ten studies (87 patients), primarily case series, met inclusion...
Friday, May 27, 2016

Perspective and common sense in managing type 2 diabetes in older individuals

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A recent JAMA paper reviewed this topic. From the abstract: Four large randomized clinical trials (RCTs), ranging in size ...
Tuesday, May 10, 2016

Fluoroquinolone use, aortic aneurysm and aortic dissection

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From a recent study : Importance Fluoroquinolones have been associated with collagen degradation, raising...
Monday, May 09, 2016

A clinical approach to dysphagia

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A free full text review in the American Journal of Medicine.
Sunday, May 08, 2016

Diet therapy for eosiniphilic esophagitis

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---is reviewed in this paper . Options include elemental and elimination diets.
Saturday, May 07, 2016

D dimer to rule out aortic dissection

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From a systematic review and meta-analysis : Results Abstracts from 800 articles were reviewed, yielding 30 ...
Friday, May 06, 2016

CVP: not useless if you use it right

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From a review : Critical care physicians frequently try to manipulate the preload of the heart to optimize cardiac f...
Thursday, May 05, 2016

Chagas disease

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This free full text review in the American Journal of Medicine focuses on the cardiac manifestations.
Wednesday, May 04, 2016

Neurocritical care of patients with cerebral vein thrombosis

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From a review : Recent findings: The mainstay of treatment in CVT is systemic anticoagulation even in the setting of...
Tuesday, May 03, 2016

Will the computer someday replace the physician as diagnostician?

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With the growing enthusiasm over Watson and other forms of high technology decision support has come the nutty idea that computers may...

Cardiac manifestations in ankylosing spondylitis

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From a recent paper : Methods Transthoracic echocardiography was performed in 187 patients (105 men), mean a...
Monday, May 02, 2016

Brugada syndrome: the essentials

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A free full text review was recently published on this topic. Some of the key questions addressed: What is it?...
Sunday, May 01, 2016

Bacterial translocation peri cardiac arrest

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This paper reviews issues related to peri arrest infection. From the abstract : During the periarrest period, inte...
Saturday, April 30, 2016

Non cardiac surgery in patients with aortic stenosis

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Advances in perioperative management and the availability of transcutaneous techniques have improved the outlook for patients...
Friday, April 29, 2016

Arrhythmic versus asphyxial cardiac arrest

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We are comfortable thinking of cardiac arrest as one entity. That thinking is simplistic and flawed.  A recent review arti...
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Robert W Donnell
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