Author jacobi Posted on August 24, 2017August 25, 2017Categories Education, TidbitsTags , ,

Weekly Tidbits 8/26-27

Hepatorenal Syndrome ATACH-II trial: What is the optimal blood pressure control for ICH patients? Status Epilepticus Lung Cancer Immunology Therapy: Anti-PD-1 Antibodies Acetaminophen Hepatotoxicity Hepatorenal Syndrome Type 1 HRS is characterized by rapid and progressive renal impairment and is most commonly precipitated by spontaneous bacterial peritonitis (SBP).  Type 1 HRS occurs in approximately 25% of patients with SBP, despite rapid resolution of the infection with antibiotics.  Without treatment, the median survival of patients with type 1 HRS is < 2 … Continue reading “Weekly Tidbits 8/26-27”

Author jacobi Posted on August 11, 2017August 11, 2017Format AsideCategories announcement, SMRTags ,

SMR FAQ

As an SMR you will often have many questions that will come up; these are some of the more frequent questions that we ran into when we were SMRs and we hope that the answers will help guide you. Q1: I am not sure about my team distribution, what should I do ? Q2: When should I call chiefs for potential back-up residents ? Q3: What is the cutoff time to assign/inform teams about day float admissions ? Q4: Which … Continue reading “SMR FAQ”

Author jacobi Posted on August 11, 2017August 11, 2017Format AsideCategories announcement, Weekend CoverageTags

Weekend Coverage 8/12 – 8/13

Announcement Off service notes: 8/16 will be intern switch day for ACS, Pulm and Neuro teams. Residents – please advise your interns to use the updated off-service-note template (click here to download). You can also find it in the Resident Share drive:\\[2017-2018] Note Template & Samples\[2017-2018] Off Service Note – Template.docxWe appreciate your feedback from our last group meeting and have edited the template so that it blends together the information that should be in a daily progress note, but with additional details that … Continue reading “Weekend Coverage 8/12 – 8/13”

Author jacobi Posted on August 10, 2017August 10, 2017Format AsideCategories Education, TidbitsTags , ,

Malaria Prophylaxis

  Falciparum Ovale Vivax Malarie Age of RBCs infected All Young Young Old Size of cell NL Big Big NL % of Parasitemia >5% <5% <5% <5% Liver stage no yes yes no Common prophylaxis drugs (eg, chloroquine, mefloquine and doxycycline) target blood stage of parasite (blood schizonticides). Malaria with liver stage (Ovale, Vivax) should treated with tissue schizoticides (eg, atovaquone/proguanil).   If one person travel to chloroquine-resistant P falciparum (Sub-Saharan Africa, Southern & Southeast Asia),  prophylaxis with Atorvaquone-proguanil, Doxycycline, … Continue reading “Malaria Prophylaxis”

Author jacobi Posted on August 3, 2017Format AsideCategories Tidbits, Weekend CoverageTags ,

Neurological emergency

Hydrocephalus: if you see hydrocephalus in a patient with consistent severe headaches, this could be a sign of impending herniation. Patient will need emergent relief of intracranial pressure.   Botulism: Rapidly progressive paralysis with blurry vision, sluggish pupils and diplopia. This condition is caused by an irreversible toxin and the antitoxin should be given as soon as possible, so needs high clinical suspicion. The diagnosis is by injecting patient’s serum in mice to see if it causes paralysis (takes a … Continue reading “Neurological emergency”

Author jacobi Posted on August 3, 2017August 9, 2017Categories Tidbits, Weekend CoverageTags , ,

hyponatremia

Pathophysiology: Hyponatremia means excess of body water compared to total body sodium and potassium.   Also likely to involve ADH (vasopressin), the hormone involved in water balance. Total osmolality: concentration of all solutes in a given weight of water (mOsm/kg) regardless of whether or not osmoles move across biological membranes Effective osmolality: number of osmoles that contribute to water movement between intracellular and extracellular compartments Most hyponatremia is from low effective osmolality (hypo-osmotic/hypotonic hyponatremia), but occasionally, hyponatremia occurs in isotonic … Continue reading “hyponatremia”