Notes from Dr. RW

Hospitalist resources and more.

Thursday, November 30, 2017

Hyperammonemic encephalopathy following bariatric surgery

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You can add this one to two growing lists: bariatric surgery complications and non hepatic hyperammonemias. [ 1 ] [ 2 ] ...
Wednesday, November 29, 2017

HRCT scanning in the diagnosis of pulmonary diseases

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In diffuse or multifocal parenchymal lung disease the HRCT may point to a specific diagnosis or place the disorder in a cate...
Tuesday, November 28, 2017

Hydrophilic polymer embolism

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A newly appreciated complication of vascular access .
Monday, November 27, 2017

Hospitalists as housekeepers

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Hospitalists write medication orders, take calls for “housekeeping” issues and do the discharge paperwork. With us, quality...
Sunday, November 26, 2017

Histologic patterns and outcomes in hypersensitivity pneumonitis

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From Chest, free full text .
Saturday, November 25, 2017

The hospital of tommorrow

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Hospitalists will be obsolete as the hospital care team continues home care via telemedicine and putting patients to death w...
1 comment:
Friday, November 24, 2017

Clinical status before and outcomes after admission to hospice

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From a report from last year : Background Prior work has shown that symptoms leading to restrictions in dai...
Thursday, November 23, 2017

Hospitalists’ enthusiasm for MOC: less than overwhelming

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Survey results .
Wednesday, November 22, 2017

Home NPPV

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From JAMA : Question Does the addition of home noninvasive ventilation to home oxygen therapy prolong time to read...
Tuesday, November 21, 2017

An attempted classification to encompass the diverse phenotypes of diabetes

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The different forms of diabetes no longer lend them selves to two simple categories. Various efforts to refin...
Monday, November 20, 2017

Concierge medicine: it’s totally a thing now

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From the American Journal of Medicine .
1 comment:
Sunday, November 19, 2017

Electrocardiographic patterns of circumflex occlusion

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About a third failed to meet STEMI criteria .
Saturday, November 18, 2017

Appropriate and inappropriate use of troponin assays

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This was the topic of a recent article in the American Journal of Medicine . The article offers a useful perspective...
Friday, November 17, 2017

Antipyretic therapy in septic patients

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No improvement in mortality .
Thursday, November 16, 2017

Your critically ill patient went into atrial fibrillation. Amiodarone was started. Now what?

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Sound familiar? This paper makes the case for cardiology consultation , at least if the drug is going to be continued at di...
Wednesday, November 15, 2017

The American College of Physicians does not support assisted suicide

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Here’s their position paper .
Tuesday, November 14, 2017

Is elevation of the head of the bed beneficial in mechanically ventilated patients?

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The evidence is somewhere in the range of slim to none .
Monday, November 13, 2017

Atrial flutter

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This review is mainly about the various mechanisms and electrocardiographic patterns.
Sunday, November 12, 2017

Fluid overload and sepsis and using bioimpedence to monitor it

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From a recent study : Guideline-directed therapy for sepsis calls for early fluid resuscitation. Often patients rec...
Saturday, November 11, 2017

EP testing in bradyarrhythmias

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This free full text review deals mainly with the various mechanisms of AV block, clues on the surface ECG and when EP testi...
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Robert W Donnell
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