Are you over 18 and want to see adult content?
More Annotations
![A complete backup of https://linelab.org](https://www.archivebay.com/archive6/images/d46759f9-2519-49d7-a2bc-9182ae6750b0.png)
A complete backup of https://linelab.org
Are you over 18 and want to see adult content?
![A complete backup of https://digitalstrom.com](https://www.archivebay.com/archive6/images/a8f636d3-06f8-48e7-8680-44e010bd9d47.png)
A complete backup of https://digitalstrom.com
Are you over 18 and want to see adult content?
![A complete backup of https://kovian.sk](https://www.archivebay.com/archive6/images/1ba0f0ea-7911-4bfc-91cc-792c611e28f9.png)
A complete backup of https://kovian.sk
Are you over 18 and want to see adult content?
![A complete backup of https://psychodownloads.com](https://www.archivebay.com/archive6/images/8df5a227-c561-45d6-8596-8302631aad62.png)
A complete backup of https://psychodownloads.com
Are you over 18 and want to see adult content?
![A complete backup of https://medicare4all.org](https://www.archivebay.com/archive6/images/da93086a-df8c-4ea2-8de0-59f113fe11b9.png)
A complete backup of https://medicare4all.org
Are you over 18 and want to see adult content?
![A complete backup of https://csswizardry.com](https://www.archivebay.com/archive6/images/df329914-1763-46bd-b4a9-e9317600ed88.png)
A complete backup of https://csswizardry.com
Are you over 18 and want to see adult content?
![A complete backup of https://cityrepair.org](https://www.archivebay.com/archive6/images/544f1c4d-c6d7-42b1-9311-ede60b3457df.png)
A complete backup of https://cityrepair.org
Are you over 18 and want to see adult content?
![A complete backup of https://theveteranssite.com](https://www.archivebay.com/archive6/images/9905f3a0-1e93-4a5d-af8a-3fea62254294.png)
A complete backup of https://theveteranssite.com
Are you over 18 and want to see adult content?
![A complete backup of https://fitzvillafuerte.com](https://www.archivebay.com/archive6/images/45a46a36-3772-4c27-af9f-a33387d65016.png)
A complete backup of https://fitzvillafuerte.com
Are you over 18 and want to see adult content?
![A complete backup of https://sjearthquakes.com](https://www.archivebay.com/archive6/images/66b8bc1a-b629-4f4c-8719-dada0ab7aa82.png)
A complete backup of https://sjearthquakes.com
Are you over 18 and want to see adult content?
![A complete backup of https://spacehey.com](https://www.archivebay.com/archive6/images/0e93cc18-d757-4bf2-b4d2-2db0533e72b4.png)
A complete backup of https://spacehey.com
Are you over 18 and want to see adult content?
![A complete backup of https://nextdeparture.ca](https://www.archivebay.com/archive6/images/8a7f2fe4-ab2f-4ac2-9ba5-5b304a350b0b.png)
A complete backup of https://nextdeparture.ca
Are you over 18 and want to see adult content?
Favourite Annotations
![A complete backup of future-agricultures.org](https://www.archivebay.com/archive/7e5e8262-bce9-4d38-9924-920853305e6a.png)
A complete backup of future-agricultures.org
Are you over 18 and want to see adult content?
![A complete backup of netluxantivirus.com](https://www.archivebay.com/archive/b22d8e98-4484-4507-b1fd-d06da4786f81.png)
A complete backup of netluxantivirus.com
Are you over 18 and want to see adult content?
![A complete backup of thestudentchef.com](https://www.archivebay.com/archive/cd2fef84-6a7b-4d7a-8b0d-85bc84bd0396.png)
A complete backup of thestudentchef.com
Are you over 18 and want to see adult content?
![A complete backup of meteor-auto.com.ua](https://www.archivebay.com/archive/9ec88cc1-3edb-4a18-a3c2-b60cf5afc21a.png)
A complete backup of meteor-auto.com.ua
Are you over 18 and want to see adult content?
![A complete backup of arubberperspective.wordpress.com](https://www.archivebay.com/archive/cba71a19-1c14-455c-9579-2d96d8cc0805.png)
A complete backup of arubberperspective.wordpress.com
Are you over 18 and want to see adult content?
![A complete backup of hartastrazi.info](https://www.archivebay.com/archive/8d987b6f-9a5c-4d67-a717-e7c8f19df946.png)
A complete backup of hartastrazi.info
Are you over 18 and want to see adult content?
Text
developing a
THE NEW KID ON THE BLOCK: HEART FAILURE WITH MID-RANGE By Pamela Boodram, MD. Peer Reviewed. A 68-year-old woman with a history of hypertension and well controlled type 2 diabetes presents to the ED with five days of progressively worsening dyspnea on exertion, orthopnea, and bilateral leg swelling. SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. THE HISTORY BEHIND ASPIRIN 81 The standard adult aspirin dose was 5 gr, or 325 mg in metric, the dose still used today for analgesia. Low-dose aspirin was one quarter of the standard dose, 1.25 grains, which converted to 81 mg. This dosing regimen has persisted to modern times. 8. Although the apothecary system of weights and measures is no longer in officialuse, its
CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS Commentary by Terry Seltzer MD, Department of Endocrinology. Before deciding to convert the patient from insulin to an oral agent, one must first be certain that he is a Type 2 Diabetic. Thus the lean 20 year old patient should be considered a possible Type 1 Diabetic, even though thus far he phenotypically appears to be a Type 2. CORE IM: 5 PEARLS ON TREATMENT OF ALCOHOL USE DISORDER Alcohol use disorder (AUD) is a problematic pattern of alcohol use leading to clinically significant impairment or distress. Risky drinking is thought of as daily and weekly alcohol limits: For men less than 65 years: more than 4 drinks/day or 14 drinks/week for. For women and men over 65 years: more than 3 drinks/day or 7 drinks/week. CREATINE KINASE: HOW MUCH IS TOO MUCH The risk of renal failure increases above 5,000 to 6,000 IU/L . Interestingly, one series found that only patients with a peak CK greater than 20,000 IU/L failed to respond to diuresis and required dialysis . No studies have found a normal range of CPK levelsfollowing exercise.
OXYGEN-INDUCED HYPERCAPNIA IN COPD: WHAT IS THE MECHANISM Another mechanism that likely contributes to oxygen-induced hypercapnia in COPD is the well- studied Haldane effect, which was first proposed in 1914. 6 The Haldane effect revolves around the hemoglobin-carbon dioxide dissociation curve, which shifts to the right with increased levels of oxygen, thereby increasing arterialcarbon dioxide
CLINICAL MISINFORMATION: THE CASE OF BENADRYL CAUSING The results of the Campbell study are as follows: of the study participants, 179 of 1,652 (11%) were deemed to be exposed to “definite” anticholinergic medications. In that group, the odds ratio for “cognitive impairment” was 1.43, which was not statistically significant to a p-value of 0.05. When corrected based on the number of drugs SHOULD BETA-BLOCKERS BE USED IN THE SETTING OF COCAINE Recently the debate on the use of beta-blockers in the setting of cocaine related chest pain has been reopened. When taking an evidence-based approach to this subject, we see that beta-blockers may not be harmful, and may actually be beneficial in the setting of cocaine-related chest pain. Cocaine may induce myocardial ischemiathrough various
ANTIEMETICS AND QT PROLONGATION Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. While QT prolongation in itself is not harmful, it increases the risk fordeveloping a
THE NEW KID ON THE BLOCK: HEART FAILURE WITH MID-RANGE By Pamela Boodram, MD. Peer Reviewed. A 68-year-old woman with a history of hypertension and well controlled type 2 diabetes presents to the ED with five days of progressively worsening dyspnea on exertion, orthopnea, and bilateral leg swelling. SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. THE HISTORY BEHIND ASPIRIN 81 The standard adult aspirin dose was 5 gr, or 325 mg in metric, the dose still used today for analgesia. Low-dose aspirin was one quarter of the standard dose, 1.25 grains, which converted to 81 mg. This dosing regimen has persisted to modern times. 8. Although the apothecary system of weights and measures is no longer in officialuse, its
CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS Commentary by Terry Seltzer MD, Department of Endocrinology. Before deciding to convert the patient from insulin to an oral agent, one must first be certain that he is a Type 2 Diabetic. Thus the lean 20 year old patient should be considered a possible Type 1 Diabetic, even though thus far he phenotypically appears to be a Type 2. CORE IM: 5 PEARLS ON TREATMENT OF ALCOHOL USE DISORDER Alcohol use disorder (AUD) is a problematic pattern of alcohol use leading to clinically significant impairment or distress. Risky drinking is thought of as daily and weekly alcohol limits: For men less than 65 years: more than 4 drinks/day or 14 drinks/week for. For women and men over 65 years: more than 3 drinks/day or 7 drinks/week. CREATINE KINASE: HOW MUCH IS TOO MUCH The risk of renal failure increases above 5,000 to 6,000 IU/L . Interestingly, one series found that only patients with a peak CK greater than 20,000 IU/L failed to respond to diuresis and required dialysis . No studies have found a normal range of CPK levelsfollowing exercise.
OXYGEN-INDUCED HYPERCAPNIA IN COPD: WHAT IS THE MECHANISM Another mechanism that likely contributes to oxygen-induced hypercapnia in COPD is the well- studied Haldane effect, which was first proposed in 1914. 6 The Haldane effect revolves around the hemoglobin-carbon dioxide dissociation curve, which shifts to the right with increased levels of oxygen, thereby increasing arterialcarbon dioxide
CLINICAL MISINFORMATION: THE CASE OF BENADRYL CAUSING The results of the Campbell study are as follows: of the study participants, 179 of 1,652 (11%) were deemed to be exposed to “definite” anticholinergic medications. In that group, the odds ratio for “cognitive impairment” was 1.43, which was not statistically significant to a p-value of 0.05. When corrected based on the number of drugs SHOULD BETA-BLOCKERS BE USED IN THE SETTING OF COCAINE Recently the debate on the use of beta-blockers in the setting of cocaine related chest pain has been reopened. When taking an evidence-based approach to this subject, we see that beta-blockers may not be harmful, and may actually be beneficial in the setting of cocaine-related chest pain. Cocaine may induce myocardial ischemiathrough various
CLINICAL CORRELATIONS By Oliver Stewart. Peer Reviewed. Growing up in a Caribbean household, spicy foods were a pillar of my diet as an adolescent. I distinctly remember the joy that I would feel during the holiday season when my father ignited the grill and began cooking SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. BEDSIDE ROUNDS: DIAGNOSING FUNCTIONAL NEUROLOGICAL For these reasons, the terms “nonepileptic seizures” (NES) and “functional neurological disorders” are preferred by experts because they are the most neutral sounding to patients. As we will see, FND is a challenging diagnosis to make. Part of the challenge is that FNDs are common and often co-morbid with other neurologicconditions .
CLINICAL CORRELATIONS By Sophia Chen. Peer Reviewed. Once considered a disease of the West, type 2 diabetes mellitus is now a global epidemic whose incidence correlates with economic growth. CLINICAL CORRELATIONS By Jamie Oliver. Peer Reviewed. Colorectal cancer (CRC) is the second most common cause of cancer death in the US.Almost all CRC develops from precancerous polyps, and with appropriate colonoscopy screening most polyps can be detected INTERMITTENT VS. INDWELLING URINARY CATHETERIZATION By Scarlett Murphy, MD. Peer Reviewed. We are all too aware of the dreaded indwelling Foley catheter and the complications it invites. We know that its smooth, plastic surface becomes the perfect nidus for biofilms: impermeable matrices of low-lying, slowly reproducing bacteria safely encased in their own secreted polymers, providing extra virulence against even the most bactericidal of CLINICAL CORRELATIONS Welcome to HotSpots. In this series, we highlight unique websites of interest to the medical profession. Feel free to make suggestions for sites that should be featured in this series by clicking the comment field or sending us an email. DO HOSPITAL VISITORS IMPACT PATIENT OUTCOMES? A substantial body of research has identified positive patient outcomes related to open visitation policies, including rapid recovery times and decreased length of stay. Hospital visitors can boost morale, provide comfort and relief for patients in the otherwise cold and sterile environment of the hospital, and supplement the day-to-day OXYGEN-INDUCED HYPERCAPNIA IN COPD: WHAT IS THE MECHANISM Another mechanism that likely contributes to oxygen-induced hypercapnia in COPD is the well- studied Haldane effect, which was first proposed in 1914. 6 The Haldane effect revolves around the hemoglobin-carbon dioxide dissociation curve, which shifts to the right with increased levels of oxygen, thereby increasing arterialcarbon dioxide
SHOULD I ADD SUGAR OR SPLENDA TO MY COFFEE? So – if you are deciding between a diet and a regular soda, go with the diet. Add Splenda to your coffee. Or even drink it black! As with everything in life, moderation is key. Reda Issa is a 3rd year medical student at NYU School of Medicine. Peer reviewed by Neil Shapiro, MD,Editor-In
ANTIEMETICS AND QT PROLONGATION Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. While QT prolongation in itself is not harmful, it increases the risk fordeveloping a
THE NEW KID ON THE BLOCK: HEART FAILURE WITH MID-RANGE By Pamela Boodram, MD. Peer Reviewed. A 68-year-old woman with a history of hypertension and well controlled type 2 diabetes presents to the ED with five days of progressively worsening dyspnea on exertion, orthopnea, and bilateral leg swelling. SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. THE HISTORY BEHIND ASPIRIN 81 The standard adult aspirin dose was 5 gr, or 325 mg in metric, the dose still used today for analgesia. Low-dose aspirin was one quarter of the standard dose, 1.25 grains, which converted to 81 mg. This dosing regimen has persisted to modern times. 8. Although the apothecary system of weights and measures is no longer in officialuse, its
CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS Commentary by Terry Seltzer MD, Department of Endocrinology. Before deciding to convert the patient from insulin to an oral agent, one must first be certain that he is a Type 2 Diabetic. Thus the lean 20 year old patient should be considered a possible Type 1 Diabetic, even though thus far he phenotypically appears to be a Type 2. CORE IM: 5 PEARLS ON TREATMENT OF ALCOHOL USE DISORDER Alcohol use disorder (AUD) is a problematic pattern of alcohol use leading to clinically significant impairment or distress. Risky drinking is thought of as daily and weekly alcohol limits: For men less than 65 years: more than 4 drinks/day or 14 drinks/week for. For women and men over 65 years: more than 3 drinks/day or 7 drinks/week. CREATINE KINASE: HOW MUCH IS TOO MUCH The risk of renal failure increases above 5,000 to 6,000 IU/L . Interestingly, one series found that only patients with a peak CK greater than 20,000 IU/L failed to respond to diuresis and required dialysis . No studies have found a normal range of CPK levelsfollowing exercise.
OXYGEN-INDUCED HYPERCAPNIA IN COPD: WHAT IS THE MECHANISM Another mechanism that likely contributes to oxygen-induced hypercapnia in COPD is the well- studied Haldane effect, which was first proposed in 1914. 6 The Haldane effect revolves around the hemoglobin-carbon dioxide dissociation curve, which shifts to the right with increased levels of oxygen, thereby increasing arterialcarbon dioxide
CLINICAL MISINFORMATION: THE CASE OF BENADRYL CAUSING The results of the Campbell study are as follows: of the study participants, 179 of 1,652 (11%) were deemed to be exposed to “definite” anticholinergic medications. In that group, the odds ratio for “cognitive impairment” was 1.43, which was not statistically significant to a p-value of 0.05. When corrected based on the number of drugs SHOULD BETA-BLOCKERS BE USED IN THE SETTING OF COCAINE Recently the debate on the use of beta-blockers in the setting of cocaine related chest pain has been reopened. When taking an evidence-based approach to this subject, we see that beta-blockers may not be harmful, and may actually be beneficial in the setting of cocaine-related chest pain. Cocaine may induce myocardial ischemiathrough various
ANTIEMETICS AND QT PROLONGATION Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. While QT prolongation in itself is not harmful, it increases the risk fordeveloping a
THE NEW KID ON THE BLOCK: HEART FAILURE WITH MID-RANGE By Pamela Boodram, MD. Peer Reviewed. A 68-year-old woman with a history of hypertension and well controlled type 2 diabetes presents to the ED with five days of progressively worsening dyspnea on exertion, orthopnea, and bilateral leg swelling. SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. THE HISTORY BEHIND ASPIRIN 81 The standard adult aspirin dose was 5 gr, or 325 mg in metric, the dose still used today for analgesia. Low-dose aspirin was one quarter of the standard dose, 1.25 grains, which converted to 81 mg. This dosing regimen has persisted to modern times. 8. Although the apothecary system of weights and measures is no longer in officialuse, its
CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS Commentary by Terry Seltzer MD, Department of Endocrinology. Before deciding to convert the patient from insulin to an oral agent, one must first be certain that he is a Type 2 Diabetic. Thus the lean 20 year old patient should be considered a possible Type 1 Diabetic, even though thus far he phenotypically appears to be a Type 2. CORE IM: 5 PEARLS ON TREATMENT OF ALCOHOL USE DISORDER Alcohol use disorder (AUD) is a problematic pattern of alcohol use leading to clinically significant impairment or distress. Risky drinking is thought of as daily and weekly alcohol limits: For men less than 65 years: more than 4 drinks/day or 14 drinks/week for. For women and men over 65 years: more than 3 drinks/day or 7 drinks/week. CREATINE KINASE: HOW MUCH IS TOO MUCH The risk of renal failure increases above 5,000 to 6,000 IU/L . Interestingly, one series found that only patients with a peak CK greater than 20,000 IU/L failed to respond to diuresis and required dialysis . No studies have found a normal range of CPK levelsfollowing exercise.
OXYGEN-INDUCED HYPERCAPNIA IN COPD: WHAT IS THE MECHANISM Another mechanism that likely contributes to oxygen-induced hypercapnia in COPD is the well- studied Haldane effect, which was first proposed in 1914. 6 The Haldane effect revolves around the hemoglobin-carbon dioxide dissociation curve, which shifts to the right with increased levels of oxygen, thereby increasing arterialcarbon dioxide
CLINICAL MISINFORMATION: THE CASE OF BENADRYL CAUSING The results of the Campbell study are as follows: of the study participants, 179 of 1,652 (11%) were deemed to be exposed to “definite” anticholinergic medications. In that group, the odds ratio for “cognitive impairment” was 1.43, which was not statistically significant to a p-value of 0.05. When corrected based on the number of drugs SHOULD BETA-BLOCKERS BE USED IN THE SETTING OF COCAINE Recently the debate on the use of beta-blockers in the setting of cocaine related chest pain has been reopened. When taking an evidence-based approach to this subject, we see that beta-blockers may not be harmful, and may actually be beneficial in the setting of cocaine-related chest pain. Cocaine may induce myocardial ischemiathrough various
CLINICAL CORRELATIONS By Oliver Stewart. Peer Reviewed. Growing up in a Caribbean household, spicy foods were a pillar of my diet as an adolescent. I distinctly remember the joy that I would feel during the holiday season when my father ignited the grill and began cooking SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. BEDSIDE ROUNDS: DIAGNOSING FUNCTIONAL NEUROLOGICAL For these reasons, the terms “nonepileptic seizures” (NES) and “functional neurological disorders” are preferred by experts because they are the most neutral sounding to patients. As we will see, FND is a challenging diagnosis to make. Part of the challenge is that FNDs are common and often co-morbid with other neurologicconditions .
CLINICAL CORRELATIONS By Sophia Chen. Peer Reviewed. Once considered a disease of the West, type 2 diabetes mellitus is now a global epidemic whose incidence correlates with economic growth. CLINICAL CORRELATIONS By Jamie Oliver. Peer Reviewed. Colorectal cancer (CRC) is the second most common cause of cancer death in the US.Almost all CRC develops from precancerous polyps, and with appropriate colonoscopy screening most polyps can be detected INTERMITTENT VS. INDWELLING URINARY CATHETERIZATION By Scarlett Murphy, MD. Peer Reviewed. We are all too aware of the dreaded indwelling Foley catheter and the complications it invites. We know that its smooth, plastic surface becomes the perfect nidus for biofilms: impermeable matrices of low-lying, slowly reproducing bacteria safely encased in their own secreted polymers, providing extra virulence against even the most bactericidal of CLINICAL CORRELATIONS Welcome to HotSpots. In this series, we highlight unique websites of interest to the medical profession. Feel free to make suggestions for sites that should be featured in this series by clicking the comment field or sending us an email. DO HOSPITAL VISITORS IMPACT PATIENT OUTCOMES? A substantial body of research has identified positive patient outcomes related to open visitation policies, including rapid recovery times and decreased length of stay. Hospital visitors can boost morale, provide comfort and relief for patients in the otherwise cold and sterile environment of the hospital, and supplement the day-to-day OXYGEN-INDUCED HYPERCAPNIA IN COPD: WHAT IS THE MECHANISM Another mechanism that likely contributes to oxygen-induced hypercapnia in COPD is the well- studied Haldane effect, which was first proposed in 1914. 6 The Haldane effect revolves around the hemoglobin-carbon dioxide dissociation curve, which shifts to the right with increased levels of oxygen, thereby increasing arterialcarbon dioxide
SHOULD I ADD SUGAR OR SPLENDA TO MY COFFEE? So – if you are deciding between a diet and a regular soda, go with the diet. Add Splenda to your coffee. Or even drink it black! As with everything in life, moderation is key. Reda Issa is a 3rd year medical student at NYU School of Medicine. Peer reviewed by Neil Shapiro, MD,Editor-In
ANTIEMETICS AND QT PROLONGATION By Ofer Fass, MD. Peer Reviewed. Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. CAN YOUNG PATIENTS GET DIVERTICULAR DISEASE? By Aaron Smith, MD. Peer Reviewed . Case: A 35 year-old, overweight female presents to the emergency room with five days of left lower quadrant abdominal pain. CARDIAC REHABILITATION: DOES IT REDUCE MORBIDITY AND By Monil Shah, MD and Arun Manmadhan, MD. Peer Reviewed. A 64-year old male with a history of hypertension, dyslipidemia, and uncontrolled diabetes is brought to the emergency room with new onset substernal chest pressure radiating to his left arm. CORE IM: 5 PEARLS ON CHRONIC ADRENAL INSUFFICIENCY Podcast: Play in new window | Download Subscribe: Android | RSS By Daniel Sartori MD, Marty Fried MD, Shreya Trivedi MD; Illustration by Michelle Lo MD and Amy Ou MD. Quiz yourself on the 5 Pearls we will becovering:
INSULIN IN A PILL: BARRIERS TO DEVELOPMENT OF ORAL INSULIN By Nicolas Gillingham. Peer Reviewed. Over 30 million Americans—9.4% of the population—live with diabetes, six million of whom are at least partially dependent on exogenous insulin. Insulin can be self-administered by subcutaneous injection, either classically via a syringe, an insulin pen, or using an insulin pump. CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS A 48 year old male is diagnosed with type 2 Diabetes Mellitus after presenting to the emergency room with symptoms of hyperglycemia. He was immediately started on insulin and has been very compliant withhis regimen.
THE HISTORY BEHIND ASPIRIN 81 By Joshua Novack. Peer Reviewed. Patients often come into clinics on a grocery list of medications. Common prescriptions include lisinopril20 mg,
DIAGNOSIS AND TREATMENT OF DIABETIC FOOT INFECTIONS Guidelines for Diabetic Foot Infections • CID 2004:39 (1 October) • 885 IDSA GUIDELINES Diagnosis and Treatment of Diabetic Foot Infections Benjamin A. Lipsky,1,a Anthony R. Berendt,2,a H. Gunner Deery,3 John M. Embil,4 Warren S. Joseph,5 Adolf W. Karchmer,6 Jack L. LeFrock,7 Daniel P. Lew,8 Jon T. Mader,9,b Carl Norden,10 and James S. Tan11 1Medical Service, Veterans Affairs Puget Sound DON’T TIE ME DOWN! DO NECKTIES SPREAD INFECTION By Gabriel Campion. Peer Reviewed. For over a century, neckties have been a staple accessory in the wardrobe of the American professional man. Although white-collar dress codes have trended toward a more casual style, the quintessential physician still wears the white coat, a stethoscope draped around the neck, and, if male, a necktie. CORE IM PODCAST: 5 PEARLS ON IRON DEFICIENCY ANEMIA Podcast: Play in new window | Download Subscribe: Android | RSS Listen to 5 Pearls segment of Iron Deficiency Anemia! By Dr. Cary Blum MD, Marty Fried MD and Shreya P. Trivedi MD; Illustration by Mike Natter MD. Time Stamps: Should patients be screened for iron deficiency? ANTIEMETICS AND QT PROLONGATION By Ofer Fass, MD. Peer Reviewed. Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. CAN YOUNG PATIENTS GET DIVERTICULAR DISEASE? By Aaron Smith, MD. Peer Reviewed . Case: A 35 year-old, overweight female presents to the emergency room with five days of left lower quadrant abdominal pain. CARDIAC REHABILITATION: DOES IT REDUCE MORBIDITY AND By Monil Shah, MD and Arun Manmadhan, MD. Peer Reviewed. A 64-year old male with a history of hypertension, dyslipidemia, and uncontrolled diabetes is brought to the emergency room with new onset substernal chest pressure radiating to his left arm. CORE IM: 5 PEARLS ON CHRONIC ADRENAL INSUFFICIENCY Podcast: Play in new window | Download Subscribe: Android | RSS By Daniel Sartori MD, Marty Fried MD, Shreya Trivedi MD; Illustration by Michelle Lo MD and Amy Ou MD. Quiz yourself on the 5 Pearls we will becovering:
INSULIN IN A PILL: BARRIERS TO DEVELOPMENT OF ORAL INSULIN By Nicolas Gillingham. Peer Reviewed. Over 30 million Americans—9.4% of the population—live with diabetes, six million of whom are at least partially dependent on exogenous insulin. Insulin can be self-administered by subcutaneous injection, either classically via a syringe, an insulin pen, or using an insulin pump. CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS A 48 year old male is diagnosed with type 2 Diabetes Mellitus after presenting to the emergency room with symptoms of hyperglycemia. He was immediately started on insulin and has been very compliant withhis regimen.
THE HISTORY BEHIND ASPIRIN 81 By Joshua Novack. Peer Reviewed. Patients often come into clinics on a grocery list of medications. Common prescriptions include lisinopril20 mg,
DIAGNOSIS AND TREATMENT OF DIABETIC FOOT INFECTIONS Guidelines for Diabetic Foot Infections • CID 2004:39 (1 October) • 885 IDSA GUIDELINES Diagnosis and Treatment of Diabetic Foot Infections Benjamin A. Lipsky,1,a Anthony R. Berendt,2,a H. Gunner Deery,3 John M. Embil,4 Warren S. Joseph,5 Adolf W. Karchmer,6 Jack L. LeFrock,7 Daniel P. Lew,8 Jon T. Mader,9,b Carl Norden,10 and James S. Tan11 1Medical Service, Veterans Affairs Puget Sound DON’T TIE ME DOWN! DO NECKTIES SPREAD INFECTION By Gabriel Campion. Peer Reviewed. For over a century, neckties have been a staple accessory in the wardrobe of the American professional man. Although white-collar dress codes have trended toward a more casual style, the quintessential physician still wears the white coat, a stethoscope draped around the neck, and, if male, a necktie. CORE IM PODCAST: 5 PEARLS ON IRON DEFICIENCY ANEMIA Podcast: Play in new window | Download Subscribe: Android | RSS Listen to 5 Pearls segment of Iron Deficiency Anemia! By Dr. Cary Blum MD, Marty Fried MD and Shreya P. Trivedi MD; Illustration by Mike Natter MD. Time Stamps: Should patients be screened for iron deficiency? BEDSIDE ROUNDS: DIAGNOSING FUNCTIONAL NEUROLOGICAL By Daniel Gratch, MD. Peer Reviewed. In 150 AD, Greek physician and philosopher Galen wrote of a woman suffering from insomnia: “I was convinced the woman was afflicted not by a bodily disease, but rather that some emotional trouble grieved her, and it happened that at the very moment I was examining her this was confirmed” .He goes on to write that in response to receiving emotional DIET VS. EXERCISE: WHICH IS SUPERIOR FOR WEIGHT LOSS By Kurtis Carlock, MD. Peer Reviewed. Obesity is a problem that affects over one-third of adults in the US and increases the risk of numerous health problems in these individuals. The question of how best to combat obesity is a problem that has interested physicians and scientists since it was first recognized as a major health issuedecades ago.
CAN YOUNG PATIENTS GET DIVERTICULAR DISEASE? By Aaron Smith, MD. Peer Reviewed . Case: A 35 year-old, overweight female presents to the emergency room with five days of left lower quadrant abdominal pain. IS THERE A ROLE FOR DOAC LEVEL MONITORING IN CLINICAL By Thatcher Heumann, MD. Peer Reviewed. Background . Direct Oral Anticoagulants (DOACs) are a class of medications consisting of the thrombin inhibitor, dabigatran (Pradaxa), and the factor Xa inhibitors, rivaroxaban (Xarelto), apixaban (Eliquis), and edoxaban(Savaysa).
CORE IM: 5 PEARLS ON TREATMENT OF ALCOHOL USE DISORDER Podcast: Play in new window | Download Subscribe: Android | RSS By Kate Lawerence MD, Marty Fried MD, Irene Swanenberg MD, Shreya P. Trivedi MD || Illustration by Caroline Srisarajivakul-Klein MD || Audio Editing by Harit Shah.Quiz yourself on the 5 Pearls we will becovering:
CLINICAL CORRELATIONS Eve Wadsworth MD. Faculty Peer Reviewed. Polymyalgia rheumatica (PMR) is a condition that resembles several different disorders including osteoarthritis and can be difficult to diagnose. CLINICAL CORRELATIONS By Nicole A. Lamparello, MD and Molly Somberg, MD, MPA. Peer Reviewed. Please enjoy this post from the archives dated February 27, 2014. Youhear it
CLINICAL CORRELATIONS By Allison Guttman, MD. Peer Reviewed. Last week, Amazon, Berkshire Hathaway and JPMorgan Chase announced their intent to collaborate and establish an independent healthcare company for their employees. CLINICAL CORRELATIONS Commentary by Michael Tanner, M.D., Section Editor, Clinical Correlations. In the May 15 th issue of the Morbidity and Mortality Weekly Report, the CDC recommends vaccinating all people 60 and older against shingles with one SEARCH RESULTS FOR “GI” Christopher Tully, MD. Bellevue is a beast. I’m not sure if there is any other way to describe it. The corridors feel as if the streets of New York City have spilled into its sprawling confines as patients, CLINICAL CORRELATIONS Primecuts – This Week in the Journals. April 16, 2021. PrimeCuts 6 min read. By Lily Cao, MD. Peer Reviewed. A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis Nonalcoholic steatohepatitis (NASH) is commonly diagnosed in primary care. We often counsel patients on diet and exercise, recommend ANTIEMETICS AND QT PROLONGATION Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. While QT prolongation in itself is not harmful, it increases the risk fordeveloping a
THE NEW KID ON THE BLOCK: HEART FAILURE WITH MID-RANGE By Pamela Boodram, MD. Peer Reviewed. A 68-year-old woman with a history of hypertension and well controlled type 2 diabetes presents to the ED with five days of progressively worsening dyspnea on exertion, orthopnea, and bilateral leg swelling. SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. BEDSIDE ROUNDS: DIAGNOSING FUNCTIONAL NEUROLOGICAL For these reasons, the terms “nonepileptic seizures” (NES) and “functional neurological disorders” are preferred by experts because they are the most neutral sounding to patients. As we will see, FND is a challenging diagnosis to make. Part of the challenge is that FNDs are common and often co-morbid with other neurologicconditions .
INTERMITTENT VS. INDWELLING URINARY CATHETERIZATION By Scarlett Murphy, MD. Peer Reviewed. We are all too aware of the dreaded indwelling Foley catheter and the complications it invites. We know that its smooth, plastic surface becomes the perfect nidus for biofilms: impermeable matrices of low-lying, slowly reproducing bacteria safely encased in their own secreted polymers, providing extra virulence against even the most bactericidal of DIAGNOSIS AND TREATMENT OF DIABETIC FOOT INFECTIONS Guidelines for Diabetic Foot Infections • CID 2004:39 (1 October) • 885 IDSA GUIDELINES Diagnosis and Treatment of Diabetic Foot Infections Benjamin A. Lipsky,1,a Anthony R. Berendt,2,a H. Gunner Deery,3 John M. Embil,4 Warren S. Joseph,5 Adolf W. Karchmer,6 Jack L. LeFrock,7 Daniel P. Lew,8 Jon T. Mader,9,b Carl Norden,10 and James S. Tan11 1Medical Service, Veterans Affairs Puget Sound CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS Commentary by Terry Seltzer MD, Department of Endocrinology. Before deciding to convert the patient from insulin to an oral agent, one must first be certain that he is a Type 2 Diabetic. Thus the lean 20 year old patient should be considered a possible Type 1 Diabetic, even though thus far he phenotypically appears to be a Type 2. SHOULD BETA-BLOCKERS BE USED IN THE SETTING OF COCAINE Recently the debate on the use of beta-blockers in the setting of cocaine related chest pain has been reopened. When taking an evidence-based approach to this subject, we see that beta-blockers may not be harmful, and may actually be beneficial in the setting of cocaine-related chest pain. Cocaine may induce myocardial ischemiathrough various
ETHICS 101-HOW DO YOU APPROACH A JEHOVAH’S WITNESS PATIENT A 76 year old man with a history of coronary artery disease, diabetes and hypertension was brought in by his wife with two days of lethargy, slurred speech and right arm weakness. CLINICAL CORRELATIONS Primecuts – This Week in the Journals. April 16, 2021. PrimeCuts 6 min read. By Lily Cao, MD. Peer Reviewed. A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis Nonalcoholic steatohepatitis (NASH) is commonly diagnosed in primary care. We often counsel patients on diet and exercise, recommend ANTIEMETICS AND QT PROLONGATION Introduction. QT interval prolongation is a common side effect shared among the most effective antiemetic classes. The risk of QT prolongation is exacerbated by electrolyte abnormalities observed in patients with ongoing emesis, particularly hypokalemia. While QT prolongation in itself is not harmful, it increases the risk fordeveloping a
THE NEW KID ON THE BLOCK: HEART FAILURE WITH MID-RANGE By Pamela Boodram, MD. Peer Reviewed. A 68-year-old woman with a history of hypertension and well controlled type 2 diabetes presents to the ED with five days of progressively worsening dyspnea on exertion, orthopnea, and bilateral leg swelling. SHOULD PATIENTS ON DAPT AFTER ACS RECEIVE PROPHYLACTIC By Peter Sheng, MD, MPH. Peer Reviewed . Dual antiplatelet therapy (DAPT) has become the standard of care for patients after acute coronary syndrome (ACS) .It is important, however, to consider the risk of gastrointestinal (GI) bleeding with DAPT and whether proton pump inhibitors (PPIs) should be prophylactically prescribed to prevent these events. BEDSIDE ROUNDS: DIAGNOSING FUNCTIONAL NEUROLOGICAL For these reasons, the terms “nonepileptic seizures” (NES) and “functional neurological disorders” are preferred by experts because they are the most neutral sounding to patients. As we will see, FND is a challenging diagnosis to make. Part of the challenge is that FNDs are common and often co-morbid with other neurologicconditions .
INTERMITTENT VS. INDWELLING URINARY CATHETERIZATION By Scarlett Murphy, MD. Peer Reviewed. We are all too aware of the dreaded indwelling Foley catheter and the complications it invites. We know that its smooth, plastic surface becomes the perfect nidus for biofilms: impermeable matrices of low-lying, slowly reproducing bacteria safely encased in their own secreted polymers, providing extra virulence against even the most bactericidal of DIAGNOSIS AND TREATMENT OF DIABETIC FOOT INFECTIONS Guidelines for Diabetic Foot Infections • CID 2004:39 (1 October) • 885 IDSA GUIDELINES Diagnosis and Treatment of Diabetic Foot Infections Benjamin A. Lipsky,1,a Anthony R. Berendt,2,a H. Gunner Deery,3 John M. Embil,4 Warren S. Joseph,5 Adolf W. Karchmer,6 Jack L. LeFrock,7 Daniel P. Lew,8 Jon T. Mader,9,b Carl Norden,10 and James S. Tan11 1Medical Service, Veterans Affairs Puget Sound CAN YOU SWITCH A PATIENT FROM INSULIN TO ORAL AGENTS Commentary by Terry Seltzer MD, Department of Endocrinology. Before deciding to convert the patient from insulin to an oral agent, one must first be certain that he is a Type 2 Diabetic. Thus the lean 20 year old patient should be considered a possible Type 1 Diabetic, even though thus far he phenotypically appears to be a Type 2. SHOULD BETA-BLOCKERS BE USED IN THE SETTING OF COCAINE Recently the debate on the use of beta-blockers in the setting of cocaine related chest pain has been reopened. When taking an evidence-based approach to this subject, we see that beta-blockers may not be harmful, and may actually be beneficial in the setting of cocaine-related chest pain. Cocaine may induce myocardial ischemiathrough various
ETHICS 101-HOW DO YOU APPROACH A JEHOVAH’S WITNESS PATIENT A 76 year old man with a history of coronary artery disease, diabetes and hypertension was brought in by his wife with two days of lethargy, slurred speech and right arm weakness. CLINICAL CORRELATIONS Primecuts – This Week in the Journals. April 16, 2021. PrimeCuts 6 min read. By Lily Cao, MD. Peer Reviewed. A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis Nonalcoholic steatohepatitis (NASH) is commonly diagnosed in primary care. We often counsel patients on diet and exercise, recommend THE OVERUSE OF PROTON PUMP INHIBITORS: IMPLICATIONS FOR Mario Zacharatos MD on October 16th, 2019 - 10:36am I think your article should have been written 3 months ago. Please reference the study “Safety of Proton Pump Inhibitors Based on a Long, Multi-year, Randomized Trial of patients Receiving Rivaroxaban or Aspirin” in the September 2019 issue of Gastroenterology pages 682-691. CLINICAL CORRELATIONS By Allison Guttman, MD. Peer Reviewed. Last week, Amazon, Berkshire Hathaway and JPMorgan Chase announced their intent to collaborate and establish an independent healthcare company for their employees. THE DLO: DOES FFP CORRECT INR? FFP treatment was minimally effective in correcting mild elevations inINR
Details
Copyright © 2024 ArchiveBay.com. All rights reserved. Terms of Use | Privacy Policy | DMCA | 2021 | Feedback | Advertising | RSS 2.0