Notes from Dr. RW

Hospitalist resources and more.

Friday, June 11, 2021

Primary aldosteronism: an update

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  Here's an update on this topic recently published in Cardiology in Review. The original Conn syndrome was described ...
Thursday, June 03, 2021

Procalcitonin guided antibiotic treatment is beneficial in a variety of infections

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From a recent report in the American Journal of Respiratory and Critical Care Medicine : Rationale: Although early antimicrobial discont...
Sunday, May 02, 2021

Is evidence based medicine the same as science based medicine?

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  In its original notion, yes.   In its widespread popular distortion, no.  Harriet Hall explains.    
Friday, April 16, 2021

Widespread misunderstanding of hypoxemia, hypoxia and pulse oximetry

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  A recent article in the American Journal of Respiratory and Critical Care Medicine about hypoxemia and covid-19 concludes wi...
Thursday, August 20, 2020

Anticoagulation for atrial fibrillation in stages 4 and 5 of CKD

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From a recently published study : Purpose The aim of this study was to investigate whether oral anticoagulants can provide effica...
1 comment:
Wednesday, August 12, 2020

Elevated BP in hospitalized patients: what to do?

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From a recently published review : Elevated blood pressure is common in patients who are hospitalized. There are no guidelines and few r...

Cardiac complications of psoriasis

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Look at the epicardial fat. From a recent paper in the green journal : Psoriasis is a systemic inflammatory disorder that can target ad...

Updated atrial fib guidelines: the essentials

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  From Joseph S.Alpert .
Tuesday, August 11, 2020

A case of relapsing polychondritis

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From a case report and mini review in the American Journal of Medicine : McAdam and the Damiani/Levine diagnostic criteria. 12 RPC is di...

Thyroid acropachy: an unusual complication of Graves disease

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From a recent published case report and mini-review : The pathogenesis of acropachy is unknown, except for the anatomic location, in tha...
Monday, October 21, 2019

What are the risks for bad outcomes in patients admitted with influenza?

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From a recent study : Highlights A history of OSAS/CSAS, myocardial infarction and BMI greater...
Saturday, October 19, 2019

Extending VTE prophylaxis post hospitalization for medical patients

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This is not currently a recommended practice but it gets revisited from time to time. Here’s the latest systematic review a...
Friday, October 18, 2019

ICU or stepdown for your DKA patient?

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From a recent study : Highlights In some centers, all Diabetic Ketoacidosis (DKA) patients are...

Delirium in hospitalized patients predicts readmission and other forms of increased post hospital utilization

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Report here . This is not surprising, since delirium in the hospital is often a sign of frailty.
Tuesday, August 06, 2019

The cholesterol hypothesis is alive again!

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From a recent paper in JAMA : Key Points Question Is consuming dietary cholesterol or eggs associated with ...
Sunday, August 04, 2019

Check point inhibitor induced colitis

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An emerging entity .
Saturday, August 03, 2019

Which patients post cardiac arrest need to go straight to the cath lab?

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From a recent AHA scientific statement : CAD is a common substrate, and its severity is a potential trigger for OHCA...
Friday, August 02, 2019

Cardiorenal syndrome

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The AHA scientific statement is available as free full text here .
Thursday, August 01, 2019

Rates of cardiac testing prior to hip fracture surgery

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From a recent report : Hip fracture is a common reason for urgent inpatient surgery. In the past few years, several ...
Wednesday, July 31, 2019

Blood stream infections: how long to treat? When is PO sufficient?

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This review in the Journal of Hospital Medicine is an excellent resource.
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Robert W Donnell
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