Thursday, February 02, 2023

Autonomic dysfunction as a cause of cardiovascular disease

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  This free full text review focuses on neurodegenerative synucleinopathies and briefly, in addition, touches on other disorde...

Nucleic acid testing for viral pathogens in community-acquired pneumonia

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  The American thoracic Society has published a guideline for this in the American Journal of Respiratory and Critical Care Med...

Could aspergillus be hiding out in your critically ill patient?

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  An issue from the American Journal of respiratory and Critical Care Medicine contains two articles and a related an editorial...

Antimicrobial resistance in critically ill patients

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  This review focuses mainly on gram-negative bacteria. Although it approaches the problem in light of the covid-19 pandemic i...

ANCA testing in eosinophilic granulomatosis with polyangiitis (EGPA)

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  The American Journal of Respiratory and Critical Care Medicine published a consensus statement on the use of ANCA testing in...
Friday, July 08, 2022

Myths and facts in antibiotic stewardship

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The current issue of the American Journal of Medicine (the Green Journal) has an article titled Top Myths of Diagnosis andManagement of Infe...
Wednesday, June 15, 2022

Diagnostic time out

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What is a diagnostic time out? Succinctly defined, it’s a deliberate exercise in differential diagnosis and systematic clinical reasoning in...
Saturday, June 11, 2022

A little more on metacognition

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This article from Academic Emergency Medicine, published in 2002, remains applicable today. It makes the point that heuristics in medicine ...

Indulge me in a little metacognition

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I found an interesting post about cognitive shortcuts in medicine. I have a minor objection to the title of the post which is Cognitive Erro...
Wednesday, May 04, 2022

Stepford doctors

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Ever since variation was declared to be an enemy of medicine there has been a multifaceted unrelenting effort to constrain the autonomy of c...
Monday, May 02, 2022

Are internal medicine’s core values effectively applied in today’s hospitalist practice?

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Hospital medicine has changed. The change has been brought by business and regulatory pressures rather than the core values of internal med...
Wednesday, August 11, 2021

Update on management of the acute abdomen in critically ill patients

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  From a recent review in Current Opinion in Critical Care Medicine : Purpose of review The aim of this study was t...

The fight to curb antimicrobial resistance: how are we doing?

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  From a recent NEJM review on this topic : In November 2019, the CDC released an updated version of its antibiotic-resista...
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...