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Internal Medicine

Scientific Advisory | Expedited CT scanning with iodinated contrast when necessary favored over renal concerns in emergencies

22 Jun, 2023 | 15:19h | UTC

Joint Advisory Statement between Royal College of Radiologists & Royal College Emergency Medicine regarding Emergency Computed Tomography scans and the use of Intravenous Iodinated Contrast Agents

Related:

Radiographic Contrast Media and the Kidney – Clinical Journal of the American Society of Nephrology 

Contrast-Associated Acute Kidney Injury – Journal of Clinical Medicine

Canadian Association of Radiologists Guidance on Contrast Associated Acute Kidney Injury – Canadian Association of Radiologists Journal

Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation – Radiology

SIRM-SIN-AIOM: appropriateness criteria for evaluation and prevention of renal damage in the patient undergoing contrast medium examinations—consensus statements from Italian College of Radiology (SIRM), Italian College of Nephrology (SIN) and Italian Association of Medical Oncology (AIOM) – La radiologia medica

Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis – JAMA Internal Medicine

 


Choosing Wisely | Recommendations for advance care planning

22 Jun, 2023 | 15:18h | UTC

Choosing Wisely: Canadian Neurological Society Recommendations for Advance Care Planning – Canadian Journal of Neurological Sciences

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


Cohort Study | Risk and outcome of infective endocarditis in streptococcal bloodstream infections according to streptococcal species

22 Jun, 2023 | 15:09h | UTC

Risk and Outcome of Infective Endocarditis in Streptococcal Bloodstream Infections according to Streptococcal Species – Clinical Microbiology

 


Review | Early lead extraction for infected implanted cardiac electronic devices

22 Jun, 2023 | 15:03h | UTC

Early Lead Extraction for Infected Implanted Cardiac Electronic Devices: JACC Review Topic of the Week – Journal of the American College of Cardiology

 


Acute heart failure: differential diagnosis and treatment

21 Jun, 2023 | 13:37h | UTC

Acute heart failure: differential diagnosis and treatment – European Heart Journal Supplements

Related: Acute Heart Failure: Diagnostic–Therapeutic Pathways and Preventive Strategies—A Real-World Clinician’s Guide – Journal of Clinical Medicine

 


Cohort Study | Dengue patients at high risk of cholecystitis and pancreatitis within 30 days

21 Jun, 2023 | 13:34h | UTC

Risks of Acute Cholecystitis, Acute Pancreatitis, and Acute Appendicitis in Patients with Dengue Fever: A Population-Based Cohort Study in Taiwan

 


M-A | CRP at 5 mg/L cut-off efficient for tuberculosis screening in HIV outpatients

21 Jun, 2023 | 13:30h | UTC

Clinical utility of WHO-recommended screening tools and development and validation of novel clinical prediction models for pulmonary tuberculosis screening among outpatients living with HIV: an individual participant data meta-analysis – European Respiratory Review

 

Commentary on Twitter

 


Review | Deadly drug rashes: early recognition and multidisciplinary care

21 Jun, 2023 | 13:28h | UTC

Deadly drug rashes: Early recognition and multidisciplinary care – Cleveland Clinic Journal of Medicine

 


Review | Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: what is the evidence?

21 Jun, 2023 | 13:27h | UTC

Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence? – Cleveland Clinic Journal of Medicine

 


Position statement | Gastrointestinal bleeding and endoscopic procedures in patients on antiplatelet and/or anticoagulant therapy

21 Jun, 2023 | 13:22h | UTC

Position statement from the Indian Society of Gastroenterology, Cardiological Society of India, Indian Academy of Neurology and Vascular Society of India on gastrointestinal bleeding and endoscopic procedures in patients on antiplatelet and/or anticoagulant therapy – Indian Journal of Gastroenterology (if the link is paywalled, try this one)

 


Review | Update in the treatment of the complications of cirrhosis

21 Jun, 2023 | 13:20h | UTC

Update in the Treatment of the Complications of Cirrhosis – Clinical Gastroenterology and Hepatology

 


Review | Glomerular hematuria and the utility of urine microscopy

21 Jun, 2023 | 13:14h | UTC

Glomerular Hematuria and the Utility of Urine Microscopy: A Review – American Journal of Kidney Diseases

 

Commentary on Twitter

 


The foot in diabetes – a reminder of an ever-present risk

21 Jun, 2023 | 13:10h | UTC

The foot in diabetes – a reminder of an ever-present risk – Clinical Medicine Journal

Related: Guideline Series | Prevention and management of diabetes-related foot disease

 


RCT | Thrice-weekly oral iron shows non-inferiority and fewer gastrointestinal effects in treating iron-deficiency anemia

20 Jun, 2023 | 12:48h | UTC

A randomized controlled trial of thrice-weekly versus thrice-daily oral ferrous fumarate treatment in adult patients with iron-deficiency anemia – Ann Hematol (if the link is paywalled, try this one)

 


Scientific Statement | Hormones and aging

20 Jun, 2023 | 12:45h | UTC

Hormones and Aging: An Endocrine Society Scientific Statement – The Journal of Clinical Endocrinology & Metabolism

News Release: Endocrine Society Scientific Statement distinguishes normal aging from endocrine disease – Endocrine Society

 


Guidelines for the management of trigeminal neuralgia

20 Jun, 2023 | 12:43h | UTC

Guidelines for the management of trigeminal neuralgia – Cleveland Clinic Journal of Medicine

 


Review | Measuring exhaled nitric oxide when diagnosing and managing asthma

20 Jun, 2023 | 12:41h | UTC

Measuring exhaled nitric oxide when diagnosing and managing asthma – Cleveland Clinic Journal of Medicine

 


Podcast | Inpatient cirrhosis management

20 Jun, 2023 | 12:30h | UTC

# 398:Live! From SHM: Inpatient Cirrhosis Management – The Curbsiders

 


SR | Long‐acting muscarinic antagonist (LAMA) plus long‐acting beta‐agonist (LABA) vs. LABA plus inhaled corticosteroid (ICS) for COPD

20 Jun, 2023 | 12:26h | UTC

Long‐acting muscarinic antagonist (LAMA) plus long‐acting beta‐agonist (LABA) versus LABA plus inhaled corticosteroid (ICS) for stable chronic obstructive pulmonary disease – Cochrane Library

Summary: Which combination of inhaled medications are safe and effective for chronic obstructive pulmonary disease (COPD)? – Cochrane Library

 


ESICM guidelines on ARDS: definition, phenotyping and respiratory support strategies

19 Jun, 2023 | 14:18h | UTC

ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies – Intensive Care Medicine

See also: Caring for Patients With Acute Respiratory Distress Syndrome: Summary of the 2023 ESICM Practice Guidelines – JAMA (free for a limited period)

 

Commentary on Twitter

 


RCT | High-dose hemodiafiltration reduces mortality risk in kidney failure patients compared to conventional high-flux hemodialysis

19 Jun, 2023 | 14:17h | UTC

Effect of Hemodiafiltration or Hemodialysis on Mortality in Kidney Failure – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Wider use of high-dose hemodiafiltration may have benefits for kidney failure patients – News Medical/University College London

 

Commentary on Twitter

 


RCT | Testosterone replacement does not appear to increase cardiovascular events in hypogonadal men at high risk

19 Jun, 2023 | 14:13h | UTC

Cardiovascular Safety of Testosterone-Replacement Therapy – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Cleveland Clinic-Led Trial Finds Testosterone-Replacement Therapy Does Not Increase Incidence of Major Adverse Cardiac Events for Men with Low Testosterone – Cleveland Clinic

 

Commentary on Twitter

 


RCT | Continuous vs. intermittent meropenem administration shows similar mortality and drug-resistance in sepsis patients

19 Jun, 2023 | 14:11h | UTC

Continuous vs Intermittent Meropenem Administration in Critically Ill Patients With Sepsis: The MERCY Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Do Prolonged Infusions of β-Lactam Antibiotics Improve Outcomes in Critically Ill Patients With Sepsis? – JAMA (free for a limited period)

See also: Visual Abstract

Commentary: Trial finds no difference between continuous, intermittent meropenem for sepsis patients – CIDRAP

 

Commentary on Twitter

 


Review | Necessity of antigen testing for Legionella in hospitalized patients with community-acquired pneumonia

19 Jun, 2023 | 13:56h | UTC

Should urine antigen testing for Legionella pneumophila be ordered for all hospitalized patients with community-acquired pneumonia? – Cleveland Clinic Journal of Medicine

 


Review | Celiac disease: who should I test, and how?

19 Jun, 2023 | 13:54h | UTC

Celiac disease: Who should I test, and how? – Cleveland Clinic Journal of Medicine

 


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