March 2017
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Mar 31 2017
Why 10,000 Die Within a Week of ER Discharge
When in doubt, err on the side of admission - even if you get push back from the hospitalist, administrator, or your own government.
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Mar 30 2017
How to Stop Throwing Pills at Lumbosacral Strain
There is a growing emphasis on non-pharmacologic treatments for low back pain, and a deemphasis on using opiates.
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Mar 29 2017
Meds for Back Pain – What Works and What Doesn’t
Pharmacologic treatments for acute low back pain were moderately helpful, at best, and included NSAIDs, possibly muscle relaxers, and steroids, but only for radicular pain.
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Mar 28 2017
Peds UA Accuracy Varies with Urine Concentration
If you have dilute urine with positive LE or microscopic pyuria, it is probably a real UTI. If the urine is concentrated, it's harder to tell.
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Mar 27 2017
Decision Aids Rarely Beat Clinical Judgment
Your judgment at the bedside is still the final and best decision rule.
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Mar 25 2017
Why We Treat Bell Palsy With Steroids
Corticosteroids are definitely beneficial in Bell palsy. Antiviral agents are not helpful if used alone but have a mild synergistic effect when added to steroids.
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Mar 24 2017
No Saline Before Contrast – No Problem
In patients with eGFR 30-59, there was no benefit to giving saline prior to IV contrast for CT.
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Mar 23 2017
IV Contrast and AKI – No Association
There was no association with IV contrast for CT and short-term acute kidney injury or progression to dialysis at 6 months, regardless of initial GFR in patients with a creatinine < 4.
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Mar 22 2017
Diazepam Doesn’t Help Back Pain
Diazepam doesn't help low back pain. Here is RCT data that proves it.
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Mar 21 2017
Brain on Fire – Anti-NMDA Receptor Encephalitis
Early treatment of anti-NMDA receptor encephalitis improved recovery. But first, you have to make the diagnosis.