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Viewpoint January 15, 2019 Rethinking How Antibiotics Are Prescribed: Incorporating the 4 Moments of Antibiotic Decision Making Into Clinical Practice Pranita D. Tamma, Melissa A. Miller, Sara E. Cosgrove, et al. JAMA. 2019;321(2):139-140. doi:10.1001/jama.2018.19509 Antibiotics save countless lives, but can also cause significant harm including antibiotic-associated adverse events, Clostridium difficile&n...
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Drugs & Diseases > Medscape > Fast Five Quizzes Fast Five Quiz: Venous Thromboembolism Zab Mosenifar, MD December 13, 2018 Venous thromboembolism (VTE) encompasses two interrelated conditions that are part of the same spectrum: deep vein thrombosis (DVT) and pulmonary embolism (PE). PE and DVT can occur in the setting of disease processes, after hospitalization for serious illness, or after major surgery. Thromboembol...
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Practice Assessment and initial management of acute undifferentiated fever in tropical and subtropical regions BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4766 (Published 29 November 2018) Cite this as: BMJ 2018;363:k4766  
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POCUS and SHOCK Dr. Adrian Wong Intensive Care Medicine and Anaesthesia - Kings College HospitalLondon, UK Previously: Oxford University Hospitals NHS Trust Jonathan Wilkinson Consultant Intensive Care - Medicine and Anaesthesia Northampton General HospitalNorthampton, UK Point-of-care ultrasound (POCUS) is an invaluable tool to differentiate the various types of shock which may co-exist in the critically unwell patient. It is beyond the remit of this artic...
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Intensive Care Medicine Nasogastric tube ending in the right pleura of an intubated patient Paparoupa, M., Yan, Y., Möller, M. et al. Intensive Care Med (2018). https://doi.org/10.1007/s00134-018-5460-x An 89-year-old woman was treated in our intensive care unit with Escherichia coli urosepsis. The patient developed multiple organ failure and became intubated and mechanically ventilated. On the third intensive care day, a new 16Fr. type “Levin” nasogastric tube was ...
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JAMA Diagnostic Test Interpretation November 16, 2018 Serum Creatinine in the Critically Ill Patient With Sepsis Matthieu Legrand, John A. Kellum JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.16627 Case 病例 A 73-year-old man underwent esophageal resection for cancer. He had a history of hypertension that was treated with an angiotensin receptor blocker. Preoperative estimated glomerular filtration rate (GFR) was 98 mL/min/1.73 m2. On the second post...
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JAMA Diagnostic Test Interpretation November 16, 2018 Serum Creatinine in the Critically Ill Patient With Sepsis Matthieu Legrand, John A. Kellum JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.16627 Case 病例 A 73-year-old man underwent esophageal resection for cancer. He had a history of hypertension that was treated with an angiotensin receptor blocker. Preoperative estimated glomerular filtration rate (GFR) was 98 mL/min/1.73 m2. On the second post...
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IMAGES IN CLINICAL MEDICINE Portal Venous Gas Ming Cui, and Xin Lu N Engl J Med 2018; 379:e37 DOI: 10.1056/NEJMicm1806082 A 72-year-old man presented to the emergency department with an 11-hour history of periumbilical abdominal pain and inability to pass flatus. His medical history included chronic lymphocytic leukemia (for which he had been taking ibrutinib), type 2 diabetes, and chronic hepatitis B virus infection. The pulse was 155 beats per minute, and the blood press...
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JAMA Diagnostic Test Interpretation September 14, 2018 Coagulation Test Interpretation in a Patient Taking Direct Oral Anticoagulant Therapy Michelle Sholzberg, Yan Xu JAMA. 2018;320(14):1485-1486. doi:10.1001/jama.2018.13998 Case 病例 A 74-year-old man presented with spontaneous, acute onset of confusion and headache. He had no preceding head trauma or falls. He had a history of atrial fibrillation with an annual stroke risk of 2.9% (based on points accrued for ...
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JAMA Diagnostic Test Interpretation September 14, 2018 Coagulation Test Interpretation in a Patient Taking Direct Oral Anticoagulant Therapy Michelle Sholzberg, Yan Xu JAMA. 2018;320(14):1485-1486. doi:10.1001/jama.2018.13998 Case 病例 A 74-year-old man presented with spontaneous, acute onset of confusion and headache. He had no preceding head trauma or falls. He had a history of atrial fibrillation with an annual stroke risk of 2.9% (based on points accrued for ...
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