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Tips
Lactic acid & Ammonia are 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
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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
4% Lidocaine patches better than 5% for pain?!
Are 5% prescription-only Lidocaine patches worth it when 4% Lidocaine patches are available for cheaper & OTC ?
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Quiz
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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): Is 15mg versus 30mg better 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
Quiz: Short of Breath but normal Lung sounds & Chest Xray ?
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
Another less known beneficial 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
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Clinicals
How to treat kidney stone pain & help removal without surgery
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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