Clinicals
-
Initiating Coumadin Rx with 10 mg instead of 5mg !
Even if just a day earlier to reach the target INR , I will take it !
Read More » -
Medical history taking & writing for beginners (HPI)
Logical 5 steps to taking & writing the HPI portion of History & Physical note
Read More » -
Lactic acid & Ammonia: underused seizure biomarkers !
When evidences for unwitnessed seizure are only circumstantial & indirect - the more the merrier !
Read More » -
Blood Pressure meds more effective when taken at bedtime
Does it matter when you take your blood pressure medications in a day ?
Read More » -
-
Mnemonic: Precipitants of HEPATIC Encephalopathy
A mnemonic for triggers that raise ammonia production or reduce ammonia metabolism and excretion..
Read More » -
Can you use IV contrast in Dialysis patients ? – CT v/s MRI scans
Tips regarding IV contrast imaging for patients on Dialysis
Read More » -
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 ?
Read More » -
Mnemonic: Causes / Triggers CHF Exacerbation
Finding the culprit triggering CHF exacerbation not only helps prevent recurrence but also may uncover other medical issues...
Read More » -
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…
Read More » -
Why it’s important to screen for Sleep Apnea Pre-Operatively
Undiagnosed sleep apnea can create dangerous respiratory & cardiac issues after surgery
Read More » -
A second useful effect of Proton Pump Inhibitors
This effect isn't as well known & hence not always exploited clinically
Read More » -
-
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…
Read More » -
Which Skin Tags predict Diabetes, High BP & High Cholesterol ?
Besides being a cosmetic nuisance, they have a clinical significance....
Read More » -
Iron Pills : Taking Every other day better than Daily, BID or TID dosing !
The interesting paradox of Iron pills & Iron absorption...
Read More » -
Remember hangover control in early & pre alcohol-withdrawal patients
The 'CIWA' for hangover control
Read More » -
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...
Read More » -
Causes of Bowel Obstruction : A visceral mnemonic
Have you seen Dr. Lecter's terrible evisceration scene from the Hannibal movie ?
Read More » -
Fixing A-Fib (or A-Flutter) with RVR using ABCDEF
ABCDEF gives me the exact sequence I use to treat A-Fib / A-Flutter with RVR
Read More »