Current Concepts in the diagnosis and treatment of hepato pulmonary syndrome is reviewed in this article..
Hepato Pulmonary Syndrome
February 23, 2009
Drug Induced thrombocytopenia
Drug induced Thrombocytopenia is seen in acute setting and becomes an issue when patient is on lots of medications. Pead this excellent review article..
Yellow Nail Syndrome
February 15, 2009
From a Case series in Chest.
Yellow nail syndrome (YNS) is a rare disorder first described in 1964 by Samman and White, consisting of yellow nails with lymphedema and/or chronic respiratory manifestations. The respiratory manifestations are diverse and include pleural effusion, bronchiectasis, rhinosinusitis, chronic cough, or recurrent lung infections. The pathophysiology of the syndrome remains unclear, but various anatomic or functional lymphatic drainage abnormalities have been proposed as the underlying cause.
NAFLD and Emerging Therapies
This review focuses on current and potential future therapies for NASH.
Presurgical CV Risk Reductionn
A patient’s preoperative cardiovascular assessment should do more than determine
whether a patient is cleared for surgery.Ideally, it also should take measures to reduce a patient’s surgical risk. A major focus is to resolve cardiovascular
disease and cut the patient’s risk for a perioperative or postoperative myocardial infarction. Read This Article..
Beware of QT Prolonging Drugs
From a AHA presentation
Nearly 40% of a large series of patients with a known preexisting long QT interval received an order for a QT-prolonging medication while hospitalized, thereby increasing their risk for sudden cardiac death.
Further, at-risk patients rarely underwent monitoring for further widening of the QT interval. Indeed, 8% had an ECG within 48 hours after starting the new QT-prolonging medication, Dr. Ravi K. Mareedu reported ...
Antiarrhythmic agents accounted for more than half of all prescriptions for QT prolonging medications, with amiodarone leading the way. Another 30% were for haloperidol. There were 115 orders for erythromycin and other QT-prolonging antimicrobials, 82 for methadone, and 97 orders for chlorpromazine and other antinausea drugs
Finger prick Lactate
It’s widely accepted that sepsis treatment should be regarded with the same urgency as trauma or acute STEMI. However early recognition of sepsis is notoriously poor. Is there a solution? How about a fingerstick lactate in the triage area? Better yet, in the ambulance? Here’s a study examining the issue. This is a latest study from critical care..
Thrombotic Events in SLE
Predicting thrombo-embolic events with certainty is most difficult. Especially in patients with SLE. Read this review article in medscape..
Acute interstitial Nephritis and Steroid Therapy
Acute interstitial nephritis (AIN) is a drug induced renal failure.The culprit was usually an antibiotic:
Antibiotic in 34 cases
Cephalosporin in 15 cases
Quinolone in 12 cases
Penicillin in 7 cases
NSAID in 23 cases
Allopurinol in 1 case
Ranitidine in 1 case
Omeprazole in 1 case
Pimozide in 1 case
Only 8 patients (13%) had the classic triad of fever, rash and eosinophilia
Patients classically have fever, rash and eosinophilia. Read the original article here..
Loin pain Hematuria Syndrome
Loin pain Hematuria Syndrome is an interesting group of disorders that we should know about. Read more..
Allergic rhinitis - Newer Drugs
February 7, 2009
Read more on choosing between antihisatamines and antiLeukotrene receptor antagonist..
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