Syncope guidelines published Day 1

There is enough material here for 5 days of short posts rather than one long post. Today, I have copied their key messages.

The value of controversy in medicine – sepsis

We must hope that this controversy will lead to gathering more information to resolve the controversies and improve care.

The tyranny of metrics – a book review

I highly recommend this book.  It will take around 3-4 hours to read but it may induce even more anger over metrics.

Tips for IM attendings – my favorite question – Chapter 22

I want the learners to see me as a well rounded human being.  They need to see that to keep their goals in perspective.

Tips for IM Attendings – Chapter 22 – take a mental break

They also need time to move around.  We present sitting, and it usually takes 2 full hours to hear 8 patients (and that means going quite fast at times). 

The cirrhosis chalk talk

Some days on ward rounds we have time for relatively short chalk talks.  Over the years I have developed many.

Using 1/creatinine to assess the possibility of AKI

If the creatinine stays steady for a period of time, then we could use the term, but often the creatinine inevitably increases.

Prepping intern notes

The idea is to list common chronic problems and specify information that an admission note should include.

Uncontrollable itching – the denouement

Few things in medicine are absolute.  While most gallstones cause significant pain, this symptom’s sensitivity is less than 100%. 

Uncontrollable itching – part II

As we heard the history we stopped, prior to hearing the exam and labs, and developed a differential diagnosis.