Author Archives: Hannah

EUH Krakow Conference: What are the diagnostic criteria for Henoch-Schonlein purpura (HSP)?

The Bottom Line: European League Against Rheumatism/Paediatric Rheumatology International Trials Organisation/Paediatric Rheumatology European Society (EULAR/PRINTO/PRES) criteria for diagnosis of HSP include both: purpura or petechiae not related to thrombocytopenia with lower limb predominance (or demonstration of immunoglobulin A [IgA] deposits … Continue reading

Posted in Background question, Diagnosis, EUH

EUH Krakow Conference: What are the causes of leukocytoclastic vasculitis?

The Bottom Line: About half of cases are idiopathic. The remainder are most often either drug induced or post infectious. Viral upper respiratory infection or streptococcal pharyngitis frequently precede the onset of IgA vasculitis by 1 to 2 weeks. 40% … Continue reading

Posted in Background question, Diagnosis, EUH

EUH Dressler Conference: What are the presentations of nonconvulsive status epilepticus?

The Bottom Line: Nonconvulsive status epilepticus (NCSE) refers to a group of highly heterogeneous clinical conditions lasting more than 30 minutes, in which continuous or recurrent electrographic seizure activity results in nonconvulsive clinical features. NCSE in adults represents a constellation … Continue reading

Posted in Background question, Diagnosis, EUH

EUH Morning Report: What is the ideal diuretic dosing strategy for diuretics in a patient admitted from home with acute decompensated HF and already on home diuretics?

The Bottom Line:┬áIn managing patients admitted with heart failure exacerbation, the DOSE trial confirmed that furosemide (Lasix) intermittent bolus is equivalent to continuous drip, making continuous drip management unnecessary in nearly all situations. Furthermore, symptoms were similar in high dose … Continue reading

Posted in Applying evidence, EUH, Therapy

EUH Resident Report: What are the current guidelines for treating non-CAP pneumonia?

The Bottom Line: Treatment guidelines for hospital-acquired aspiration pneumonia no definitive evidence to inform optimal antibiotic regimen antibiotic choice typically based on setting and concern for anaerobic infection treatment should be based on suspected pathogens pathogenic role of anaerobes and … Continue reading

Posted in EUH, Therapy

EUH Hunt Conference: A review of RCT findings on thrombolytics for pulmonary embolsim

The Bottom Line: Thrombolysis may be considered in selected intermediate-risk PE patients who have evidence of RV dysfunction or myocardial damage or in PE who may be clinically worsening or not improving with anticoagulation, and/or based on patient values or … Continue reading

Posted in Background question, EUH, Therapy

EUH Dressler Conference: What is the most appropriate timeframe for administering IV fluids to patients with sepsis or septic shock?

The Bottom Line: The Surviving Sepsis Guideline states 30cc/kg within first 3 hours for sepsis or shock, as defined by new Sepsis definitions (Singer et al, 2016). References: Leisman D, Wie B, Doerfler M, Bianculli A, et al. Association of … Continue reading

Posted in EUH, Intern toolbox, Therapy