Show respect for how hard your interns and residents work

As we age, we look back and convince ourselves that we were better and worked harder than the current generation. 

How to teach clinical medicine – lessons learned by studying sore throats for 35 years

Over approximately 3 months the residents enrolled slightly more than 300 patients into the initial sore throat study.

Why do we still use oral furosemide?

Recently we had another patient taking 80 mg of Lasix twice daily – and he had gained 50 pounds. IV furosemide worked beautifully.

Morning report acid-base story part 1

Evaluate a patient with ulcerative colitis, PSC, dyspnea, and acid-base imbalance for further diagnosis and treatment planning.

Diabetic ketoacidosis

The diagnosis isn’t complex. A 17-year Type I DM patient shows severe DKA with high glucose and potassium levels.

Diabetic ketoacidosis

I couldn’t access that specific webpage. If you have any other URLs or need a summary from another source, feel free to share!

VA July 1

I thought this was an important teaching moment because a syncope diagnosis starts first with a careful history and physical.

Answer to new acidosis case

49-year-old man, previously in good health, presents after a few weeks of progressive weakness and dizziness.  He admits to polyuria. 

Yesterday’s case

We did that yesterday and again today. We did decrease his bicarbonate, but he continues to have a respiratory acidosis.

Ineffective intraarterial volume

This article makes more clear an interesting physiologic mystery.  I hope my revelation helps at least 1 reader!