Friday, December 30, 2016

The learning curve for lung ultrasound

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From a recent paper : Purpose Guidelines recommend teaching of lung ultrasound for critical care, though lit...
Thursday, December 29, 2016

Long term antibiotics after a diagnosis of Lyme disease

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Here is a report of a randomized trial of long term antibiotics for patients with persistent symptoms attributed to Lyme dis...
Wednesday, December 28, 2016

Lung ultrasound to evaluate for pulmonary edema in the dyspneic patient

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Useful in this systematic review .
Tuesday, December 27, 2016

Trends in the management of left main coronary artery disease

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This review in JACC outlines the history of trends in the management of this condition and notes increasing acceptance of PC...
Monday, December 26, 2016

Potassium decline during heart failure hospitalization

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---was associated with greater 6 month mortality in this study . I'm not sure why but would speculate that it is an indi...
Friday, December 23, 2016

JAMA review on antimicrobial resistance

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A nice review of the mechanisms of resistance, the impact of antibiotic stewardship programs and the current state of the pr...
Thursday, December 22, 2016

Incretin based drugs and gallbladder disease risk

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From JAMA Internal Medicine : Importance The use of dipeptidyl-peptidase–4 (DPP-4) inhibitors and glucagon-like pep...
Wednesday, December 21, 2016

Identifying high frequency utilizers in the EMR with an airplane icon is unethical

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---so say the authors of this JAMA piece .
Tuesday, December 20, 2016

Focused update incorporating ARNI and ivabradine into the heart failure guidelines

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This was recently published in JACC . It applies to heart failure stage C class II and III. It calls for substitution of AR...
Monday, December 19, 2016

Autosomal dominant polycystic kidney disease

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Here are some key points from a recent BMJ review : What is it? It is an inherited condition characterized...
Saturday, December 17, 2016

The gluten free lunacy

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There's a great post at the Clinical Correlations blog on this topic. I can't do it justice by commenting here so v...
Friday, December 16, 2016

Does folic acid protect the kidney?

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From JAMA Internal Medicine : Objective To test whether treatment with enalapril and folic acid is more effective i...
Thursday, December 15, 2016

Acute kidney injury due to iodinated contrast

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From a recent JACC review : CI-AKI remains a concern for patients undergoing cardiac interventional procedures utili...
Wednesday, December 14, 2016

Cellulitis review

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This is an excellent review , recently published in JAMA. It needs to be read in the original but here are a few key p...
Tuesday, December 13, 2016

AL cardiac amyloidosis

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This topic was recently reviewed in JACC . Although the focus is on cardiac AL amyloidosis it provides a nice overview of ca...
Monday, December 12, 2016

GCA and PMR review

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This review highlights the emerging role of imaging in the diagnosis of both diseases. In GCA it can be an adjunct, or...

Duration of antibiotic therapy in community acquired pneumonia

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This new study validates the IDSA guideline recommendation for shorter (around 5 days) antibiotic treatment in CAP.
Sunday, December 11, 2016

What's the best treatment strategy for stable CAD in DM 2?

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From a recently published study : Background There are scant outcomes data in patients with type 2 diabet...
Saturday, December 10, 2016

Assessment of volume responsiveness in critically ill patients

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From JAMA’s Rational Clinical Examination series: Objective To identify predictors of fluid responsiveness in hem...
Friday, December 09, 2016

Antivirals added to steroids for treatment of Bell palsy

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From a JAMA Evidence Synopsis : Clinical Question Compared with oral corticosteroids alone, are oral antiviral drug...