Influenza is still in season, and we are certainly seeing primary flu and secondary complications like pneumonia. So here’s an interesting question: does combination therapy with the addition of clarithromycin and naproxen in patients hospitalized for acute influenza have any benefit?
Antagonists of the P2Y12 ADP receptor, in addition to aspirin, are the mainstay of treatment of non-ST elevation acute coronary syndromes (NSTE-ACS). Although Clopidogrel (Plavix®) has been widely used for years, newer agents have come into use, including Ticagrelor (Brilinta®) and Prasugrel…
As general internists, we often encounter and are expected to medically manage the acute complications of decompensated cirrhosis: Gastrointestional bleed Spontaneous bacterial peritonitis Hepatic encephalopathy Hepatorenal syndrome This article tackles an important cornerstone of treatment for SBP: the use of…
Do patients with venous thrombosis require testing for inherited thrombophilia? Read the expert consensus in this review article. Here are some questions you should answer from this article: Why checking for inherited thrombophilia not clinically useful? What factors should determine…
Patients with progressive chronic kidney disease are typically initiated on hemodialysis at CKD Stage 5. But is there benefit to starting it earlier versus later in Stage 5. This studies compares initiation of hemodialysis at eGFR 10-15 versus 5-7. Here…
What role do corticosteroids have in acute infection, particularly in pneumonia requiring hospitalization? This study from Switzerland argues there might be some benefits. As you can imagine, there is some controversy about the use of steroids.
Here are some questions to think about as you review this study: What adverse events were associated with the use of atorvastatin? Are these results externally valid and applicable to your patients diagnosed with ischemic stroke or TIA? How was…
Chagas Disease is endemic to Mexico, Central America, and South America, with an estimated 8 million people infected, according to the CDC. Chronic manifestations are not uncommonly seen at Olive View due to immigration from endemic areas, and the Center…
Thank you Maralee for an interesting presentation of cough and dyspnea in a patient post-bone marrow transplant. What further work-up is indicated with this representative CT scan?
Thank you Maria for a thorough presentation of a case of neutropenia from diagnosis to management of complications.
Learning Objectives:
For a review, take a look at Maria’s presentation.