Wednesday, November 02, 2016

Skepticism about accountable care organizations

›
Here is a JAMA Viewpoint piece expressing a negative opinion about ACOs. (A companion article in the same issue was favora...
Tuesday, November 01, 2016

Accountable care organizations: how are they working?

›
The authors of this JAMA Viewpoint article say the model has been a success, but the arguments are unconvincing. Here are ...
Monday, October 31, 2016

Multiple clinical manifestations of IgG4 related disease (IgG4-RD)

›
Here are some key issues addressed in a recent review . What are some of the IgG4 related diseases? These may...
Sunday, October 30, 2016

IgG-4 related disease overview

›
Here is an overview from Disease of the Month. IgG-4 diseases include one of the two types of autoimmune pancreatitis and s...
Saturday, October 29, 2016

High flow nasal cannula vs NIPPV post extubation

›
From a recent report in JAMA : Question Is high-flow nasal cannula noninferior to noninvasive ventilation for prev...
Friday, October 28, 2016

Epilepsy driving laws by state

›
Here is the database from the epilepsy foundation.
Wednesday, October 26, 2016

Cystic lung disease as a manifestation of Sjogren Syndrome

›
From a recent paper in Chest: Methods Eighty-four patients with primary or secondary SS and chest imaging, chest r...
Tuesday, October 25, 2016

Cardiac imaging in pulmonary hypertension

›
Review here .
Monday, October 24, 2016

Viral infection in community acquired pneumonia

›
From a recent systematic review and meta-analysis : Abstract: The advent of PCR has improved the identificati...
Sunday, October 23, 2016

PE may be hiding out in patients with COPD exacerbation

›
From a recent systematic review and meta-analysis : Background COPD patients encounter episodes of increased inflammation, s...
Tuesday, September 20, 2016

STEMI versus ventricular aneurysm: two ECG prediction tools

›
Report here .

Pulmonary manifestations of Sjogren's syndrome

›
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”

›
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

›
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

›
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

›
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

›
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

›
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

›
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

›
From a recent review : Treatments for primary aldosteronism (PA) aim to correct or prevent the deleterious consequen...