Notes from Dr. RW

Hospitalist resources and more.

Tuesday, September 20, 2016

STEMI versus ventricular aneurysm: two ECG prediction tools

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Report here .

Pulmonary manifestations of Sjogren's syndrome

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This free full text review focuses on the pulmonary manifestations but also covers the disease in general.
Wednesday, September 14, 2016

Stress ulcer prophylaxis: an example of a non evidence based “standard of care”

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Stress ulcer prophylaxis, generally with a PPI, has long been an in house performance measure in many institutions, but the p...
Tuesday, September 13, 2016

The emerging link between community acquired pneumonia and cardiac disease

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This is a growing concern and was recently reviewed here . From the review: Recent findings: Recent evidence sugge...
Monday, September 12, 2016

Thrombocytopenia as a prognostic marker in septic shock

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This paper was highlighted in ACP Hospitalist Weekly as an important study and although it is the first time thrombocytope...
Saturday, September 10, 2016

TIMI and GRACE perform poorly in the evaluation of patients presenting with chest pain to the ER

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From a recent prospective cohort study : Purpose The Thrombolysis in Myocardial Infarction (TIMI) and the Global R...
Friday, September 09, 2016

TPA administration in patients with stroke mimic

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In patients with stroke mimic one would expect a lower incidence of head bleed as compared to patients with actual stroke bec...
1 comment:
Thursday, September 08, 2016

In ordering troponins, consider the pretest probability

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From a recent paper : Background In clinical practice, we progressively rely on biomarkers, without estimati...
Wednesday, September 07, 2016

TTP presenting as complete heart block

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Although we typically think of a pentad of manifestations of TTP and, in fact, have a treatment threshold consisting of micro...

Medical and surgical treatment of primary aldosteronisn

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From a recent review : Treatments for primary aldosteronism (PA) aim to correct or prevent the deleterious consequen...
Monday, August 29, 2016

Statins were associated with a decreased risk of peptic ulcer

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---in this study .
Sunday, August 28, 2016

Sulfonylurea use and myocardial infarct size

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The adverse effects of sulfonylureas on macrovascular disease have been known for decades. Now we have this : Method...
Saturday, August 27, 2016

Unexplained symptoms

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Sometimes it is better for the patient and more intellectually honest to not force a diagnostic label and just acknowledge un...
Tuesday, August 23, 2016

ER care in VA hospitals

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I found this interesting report from the American Journal of Emergency Medicine: Conclusions Veterans Healt...
Monday, August 22, 2016

Checklists, daily goal assessments, and clinician prompts

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Here's another “systems improvement” initiative that didn't work. From a recent paper : Importance The eff...
Sunday, August 21, 2016

Hypoxic hepatitis

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An article on this topic recently appeared in The American Journal of Emergency Medicine. The paper focused on the post car...

The complex relationships between obesity, hypertension and CKD

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Review here .

Autoimmune hemolytic anemia

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Linked here are two great review articles. This one addresses such questions as “What are the differences between warm and ...
Saturday, July 16, 2016

NEJM report on ACOs

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From the paper : Using Medicare claims from 2009 through 2013 and a difference-in-differences design, we compared ch...
Friday, July 15, 2016

Another Zika virus review

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Free full text from BMJ .
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Robert W Donnell
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