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Category Archives: Intern toolbox
The Bottom Line: Long-term nonprogressors (LTNP) account for 1-5% of HIV-infected individuals characterized by documented infection for more than 7-10 years, a stable CD4+ T cell count over 500/mm3 and low viremia in the absence of antiretroviral treatment. They are able … Continue reading
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
The Bottom Line: Isabel, a differential diagnosis generator, was used by a clinical informationist as residents and faculty talked through a case study. The ultimate diagnosis, Hodgkin’s lymphoma, was listed in Isabel’s #2 spot of possible diagnoses (see screenshot below). … Continue reading
Holger, M. Nef. Pulmonary Hypertension: Updated classification and management of pulmonary hypertension Heart 2010;96:552-559 doi:10.1136/hrt.2008.156299 Pulmonary arterial hypertension is characterised by a progressive increase of pulmonary pressure and resistance leading to right heart failure. Pulmonary hypertension is categorised into five … Continue reading
Scherokman B. Selecting and interpreting diagnostic tests. The Permanente Journal. 1997;1(2):4-7. Succinct explanation of how sensitivity, predictive value, etc., applies to the impact of a test on the diagnosis and the selection of tests in a particular diagnostic workup.
Umpierrez GEMD, Khajavi MMD, Kitabchi AEPMD. Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome. American Journal of the Medical Sciences. 1996;311(5):225-233. Umpierrez GE, Smiley D, Kitabchi AE. Narrative review: ketosis-prone type 2 diabetes mellitus. Ann Intern Med. 2006 Mar 7;144(5):350-7. Palmer … Continue reading