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Infectious Diseases

Herpes Zoster, including varicella and virology

OVERVIEW: What every clinician needs to know Pathogen name and classification Varicella – Zoster Virus (VZV) VZV is an alpha herpes virus that is a double stranded DNA virus. Continue Reading What is the best treatment? Localized zoster treatment The goals of therapy are to increase the healing of skin lesions, decrease shedding of the…
Hospital Medicine

Irritable Bowel Syndrome

. Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. It is a disorder that may cause abdominal bloating, gassiness, crampy abdominal pain, diarrhea (IBS-D), constipation (IBS-C), alternating constipation and diarrhea, mucousy stools, and fecal urgency. Individuals feel the need to defecate immediately following a bowel movement. Although many patients experience a great…
Critical Care Medicine

Beta blocker and Ca+ Channel blocker overdose; BB and CCB OD

Beta Blocker and Calcium Channel Blocker Overdose Synonyms Continue Reading BB and CCB OD Related Conditions BB Overdose CCB Overdose 1. Description of the problem What every clinician needs to know Beta blocker (BB) and calcium channel blocker (CCB) overdoses are associated with significant morbidity and mortality. Treatment is similar for both types of overdoses…
Hospital Medicine

Ankylosing spondylitis (Marie-Strumpell disease, Bechterew's disease)

. Ankylosing spondylitis (AS) is a chronic inflammatory disease of the spine and sacroiliac joints. It may be associated with a number of extra-articular structures, such as the eye, gastrointestinal (GI) tract, skin, lungs, kidneys, and heart. AS usually begins in the second or third decade with a male-to-female prevalence between 2:1 to 3:1. AS…
Hospital Medicine

Spinal cord tumors and compression

I. What every physician needs to know. Diagnosis of spinal cord compression is usually urgent given the dense concentration of motor and sensory pathways in a small area. Delay in diagnosis can lead to lifelong immobility, bladder dysfunction and decreased survival irrespective of the underlying pathological diagnosis. Early recognition may reverse neurological deficits and because…

Overdose – Common Medications

Overview: What every practitioner needs to know Are you sure your patient has overdosed on common medications? What are the typical findings for this disease? Acetaminophen toxicity Acetaminophen is commonly used in the pediatric population for many different indications including for its antipyretic properties and its analgesic properties. The therapeutic dose of acetaminophen is 15-20…

HIV patients

What should the Anesthesiologist Should Know Prior to the Operative Procedure Background Human immunodeficiency virus (HIV), the causative viral organism of acquired immunodeficiency syndrome (AIDS), was first recognized over 20 years ago, and has since infected approximately 50 million people worldwide. In the United States, there are between 850,000 to 1 million cases of HIV/AIDS,…

Obstructive sleep apnea

What every physician needs to know: Obstructive sleep apnea (also known as sleep apnea hypopnea, particularly outside North America) is a common disorder: population-based studies in the U.S. have shown a prevalence in the general, working-age population of roughly 9 percent of women and 24 percent of men. The prevalence rises with advancing age and,…
Hospital Medicine

Obstructive sleep apnea

I. What every physician needs to know. Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder, characterized by recurrent complete or partial obstruction of the upper airway during sleep. It is typically characterized by fragmented sleep from arousals due to respiratory events and oxygen desaturations and may result in neurocognitive dysfunction, cardiovascular comorbidities,…

Neuroendocrine Tumors

What every physician needs to know: Neuroendocrine tumor (NET) and particularly NF-NET (non-functional-NET) patients are commonly misdiagnosed and/or diagnosed late in their disease course as their symptoms are nonspecific, insidious in onset and present for years. Presenting symptoms include those attributable to a specific clinical syndrome and/or tumor-related symptoms such as involuntary weight loss, pain,…
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