This man had uncontrollable itching – a case presentation in 3 parts – Part 1

During this time, he had lost 20 pounds because he had both nausea and some post-prandial vomiting.  A physician had tried hydroxyzine, without any symptom relief.

Many medical nouns need adjectives

Without knowing the severity of disease we could easily fall into advancing theories that do not make sense.

Mystery fiction and being a better internist

If you have quotes from mystery writers that make important points, please share them with me and our readers.

The Fusobacterium story as of 2018 – a very long post

So in 2018 I still recommend empiric antibiotics based on the clinical presentation.  As we study this infection further,

Why I love inpatient IM ward attending

Caring for patients is our calling.  Teaching others to care well for their patients multiples our efforts.

Tips for IM attendings – Chapter 21 – make rounds a conversation

As I considered this framing of rounds this week, I wondered if writing these thoughts would help my colleagues.

The #5goodminutes project

So please provide some feedback – especially if you like some of the topics, or think some of the topics are not very helpful.

Try to avoid vancomycin/pip-tazo

If we are worried about anaerobes, pseudomonas and MRSA then we might legitimately use the VPT combination – although some would just add anaerobic coverage to VC.

#5goodminutes Type IV RTA

I hope this short explanation helps you understand type IV RTA and also understand why nephrologists and cardiologists.

The daily clinical post #KashlakChief

I would love suggestions of what should go into the daily tweet.  Please hold me accountable.