17. Introduction to Potassium
Acid-Base Chapters (Chapters 10-16) from Fluids
Chapter 10: Introduction to Acid-Base
Dysnatremia chapters (chapters 6-9) of Fluids
Chapter 9: Polyuria/Polydipsia
Why I love the Mac
Use Preview to open up the two PDFs you would like to merge. Choose View ยป Show Sidebar (or click the Sidebar button). Make sure both PDFs are visible on the screen at the same time. When the Sidebar pops out, you will see a graphical representation of the pages in your PDF document. Simply drag the page, or pages (use Comand to select multiple pages) from the Sidebar of one PDF to the Sidebar of another. You have now merged pages from two separate PDF documents.
So easy. So simple. So elegant.
The first five chapters of the Fluids book
Chapter 1: Moles and Water
The Fluid and Electrolyte Companion has been locked up
The things patients bring in
My favorite patient encounters almost always involve the patient bringing in something they found in a newspaper or magazine. The best ones are fully annotated with the patients thoughts and comments. Typical subjects are: alternative medicine, vitamins, noni juice (don’t get me started), new tests or scare mongering articles about drugs I have prescribed.
Geriatric nephrology hits the NEJM
- Nursing home residents represented 4% of the people starting dialysis
- Nursing home residents represented 11% of the people initiating dialysis over the age of 70
- First year mortality is 35% for patients older than 70
- First year mortality is 50% for patients older than 78
- eating
- dressing
- toileting
- maintaining personal hygiene
- walking
- getting up out of a chair
- moving around in bed
After 20 years of learning I still get clinical scenarios that are total blanks
- Decade old type B aortic dissection
- recurrent TIAs
- carotid bulb tumor
- bilateral pulmonary embolism
- patient belief that anticoagulation is bad for patients.
We examined all case records for acute (less than 2 weeks) type B aortic dissection treated at The Mount Sinai Hospital since 1985. The review identified 68 patients, 42 male and 26 female, with ages ranging from 32 to 96 years (mean, 65.5 years)…
… Follow-up ranges from 0 to 112 months (mean, 31 months). Medical therapy consisted of aggressive antihypertensive and “antiimpulse” therapy. Patients with unremitting pain or uncontrollable hypertensiondespite this regimen underwent early operation. Urgent operation was also performed for rupture or significant aortic dilatation (greater than 5 cm). Recently, malperfusion, initially an indication for operation, has been relieved using percutaneous catheter fenestration [1โ3]…
No difference was found in one or five year survival when the cohort was divivded by the timing of the surgery. No attempt was made to look at the year of enrollment and whether that a difference in survival.
I could find no evidence to support the patient’s belief that she should avoid anticoagulation.
Proteinuria in pregnancy
I stumbled across a good online resource for evaluating proteinuria in pregnancy. This review article is detailed and fully referenced.