Notes from Dr. RW

Hospitalist resources and more.

Thursday, May 31, 2018

Evidence based approach to the diagnosis of DVT

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Clear and concise .
Wednesday, May 30, 2018

Disruptive behavior

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I guess now we’re supposed to call it horizontal violence? Whatever you call it, under today’s broad definition it’s pretty ...
Tuesday, May 29, 2018

Top social media posts on derm emergencies

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Reported here .
Monday, May 28, 2018

Clots in unusual places

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Form a recent review : Highlights •The diagnosis of SVT and CVT relies exclusively on imaging tests. ...
Sunday, May 27, 2018

Currently recommended transfusion thresholds may be associated with higher mortality in pneumonia

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A hemoglobin target of around 8 may be more appropriate in pneumonia . An increasing body of research suggests that ...
Saturday, May 26, 2018

Management of recurrent VTE in cancer patients

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Here is a recent review . Form the review: Venous thromboembolism (VTE) occurs in 10–20%% of patients with cancer ...
Friday, May 25, 2018

Severely elevated BP

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Treating it with IV bolus meds just because you can .
Thursday, May 24, 2018

Bezlotoxumab (Zinplava) for prevention of recurrent C diff

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Here’s a review in P&T on this recently approved agent .
Wednesday, May 23, 2018

Acquired von Willebrand disease in severe aortic stenosis: reversal with TAVR

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From a recent paper : Highlights •Many patients undergoing TAVI exhibit, subclinical von VWF abnormaliti...
Tuesday, May 22, 2018

Varicalla zoster pneumonia: an observational study

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Free full text from Critical Care . All received acyclovir. A small number getting adjunctive steroids...
Monday, May 21, 2018

A case of Wellen’s syndrome

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Report and brief review here .
Sunday, May 20, 2018

The Winters formula and the thumb rule

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The Winters formula is used to assess the appropriateness of the pCO2 response to metabolic acidosis (and thus determine whet...
Saturday, May 19, 2018

Settled science: female physicians are better docs

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So says one of the authors of the much talked about study in his somewhat, shall we say, promotional blog posts. [ 1 ] [ 2 ...
Friday, May 18, 2018

Asymptomatic (incidentally discovered) microscopic hematuria: what’s the most cost effective way to work it up?

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The combination of ultrasound and cystoscopy is the winner .
Thursday, May 17, 2018

Rivaroxaban versus warfarin and recurrent VTE

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From Lancet Hematology : Methods In this propensity-matched cohort study, we linked nationwide Danish health...
Wednesday, May 16, 2018

Cardiac cachexia is associated with sympathetic nerve activity in skeletal muscle

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From the AHA meeting abstracts : Introduction: Cardiac cachexia is associated with poor prognosis in patients with h...
Tuesday, May 15, 2018

Herpes zoster ophthalmicus

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Free full text review in the green journal .
Monday, May 14, 2018

UTI caused by ESBL producing bacteria

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Piperacillin-tazobactam works when the lab tells you the isolate is susceptible to it .
Sunday, May 13, 2018

Sleep and cardiovascular disease

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From a review : Abstract: Purpose of review: Sleep plays many roles in maintenance of cardiovascular health....
Saturday, May 12, 2018

Intention to treat analysis in RCTs

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What is it? Why is it important?
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Robert W Donnell
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