Month: June 2022

Tips

Lactic acid & Ammonia: underused seizure biomarkers !

When evidences for unwitnessed seizure are only circumstantial & indirect - the more the merrier !

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Clinicals

Blood Pressure meds more effective when taken at bedtime

Does it matter when you take your blood pressure medications in a day ?

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Tips

Lactulose in Cirrhosis: A double-edged weapon !

Welcome to the lactulose paradox !

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Mnemonics

Mnemonic: Precipitants of HEPATIC Encephalopathy

A mnemonic for triggers that raise ammonia production or reduce ammonia metabolism and excretion..

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Tips

Can you use IV contrast in Dialysis patients ? – CT v/s MRI scans

Tips regarding IV contrast imaging for patients on Dialysis

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Tips

Lidocaine Patch for Back pain: 4% beats 5% !

Are 5% prescription-only Lidocaine patches worth it when 4% Lidocaine patches are available for cheaper & OTC ?

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Quiz

Quiz: Can you select the correct labs !

A fun little quiz to get you thinking...again 😁

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Mnemonics

Mnemonic: Causes / Triggers CHF Exacerbation

Finding the culprit triggering CHF exacerbation not only helps prevent recurrence but also may uncover other medical issues...

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Tips

IV Ketorolac (Toradol): 15mg same as 30mg for pain control !?!

When it comes to dosing any pharmaceutical drugs, I like to follow a Buddhist principle : Walk the middle way…

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Quiz

Short of Breath but normal Lung sounds & Chest Xray: A Quiz

Guess some causes of dyspnea in these patients with normal lung sounds and normal Chest xray !

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Tips

Why it’s important to screen for Sleep Apnea Pre-Operatively

Undiagnosed sleep apnea can create dangerous respiratory & cardiac issues after surgery

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Tips

A second useful effect of Proton Pump Inhibitors

This effect isn't as well known & hence not always exploited clinically

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Quiz

Quiz : What’s the antidote ?

Overdoses - Intentional, accidental including accidentally in the hospital - are common

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Mnemonics

Free online Mnemonic-Makers : Make your own !

Fancy a game of scrabble while studying ?

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Clinicals

Treat kidney stone pain & help removal non-surgically

A mnemonic for healthcare professionals to recall steps to treat renal colic and improve changes for natural passage of kidney…

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Tips

Which Skin Tags predict Diabetes, High BP & High Cholesterol ?

Besides being a cosmetic nuisance, they have a clinical significance....

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Tips

Iron Pills : Taking Every other day better than Daily, BID or TID dosing !

The interesting paradox of Iron pills & Iron absorption...

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Tips

Remember hangover control in early & pre alcohol-withdrawal patients

The 'CIWA' for hangover control

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Tips

Help constipated patients CRAP without pills

In modern medicine it's reflexive for a provider to prescribe meds for constipation, while natural interventions are often omitted...

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Mnemonics

Causes of Bowel Obstruction : A visceral mnemonic

Have you seen Dr. Lecter's terrible evisceration scene from the Hannibal movie ?

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