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Everyone always forgetting about cefazolin

THEYRE USING SGLT-2 INHIBITORS IN CATS

Telling someone with obesity to eat less and move more is similar to telling someone with anxiety to just calm down.

HyperK, ⬇️BP, renal dysfunction can hamper #GDMT prescribing in #HF. A few back-pocket strategies: -check 💦 status and adjust diuretic first -stagger doses -Monitor Cr ⬆️ <50% and K< 5.5 -Know when to sub ARNI for ACEi, metop XL for carvedilol 👇 sciencedirect.com/science/articl…

Horrible nephrotic syndrome, serologies “neg,” renal bx contraindicated (fresh VTE, severe skin breakdown over back). Fat pad bx neg. Had a BKA at OSH 2 years prior. Called outside pathologist who agreed to Congo red stain the specimen. + green birefringence! Badass.

The general medicine specialties often the ones getting shafted the most 😕

The best thing one can do for their own Wellness is Medicine is to not attend meetings regarding Wellness in Medicine.

. VUMCHospitalMed Vanderbilt Internal Medicine Residency

Hospitalists in the US shudder when hearing this insurers name: UnitedHealthcare The absolute worst entity for patient wellbeing.

Who here has seen tenofovir alafenamide nephrotoxicty? Can it present acutely? Does it also cause a Fanconi’s? #nephtwitter #medtwitter

A great case manager and pharmacist can make or break a hospitalists’ day.

Remove the ability to order CRP for 6 months & measure outcomes. My hypothesis is that they’ll remain unchanged and maybe improved (LOS, cost, blood draw, serial imaging). Has any institution ever done this? Vanderbilt University Medical Center Meharry-Vanderbilt Alliance VUMC Infectious Diseases VUMC Department of Medicine VUMCHospitalMed

Where did it come from Where did it go How to get it out

The diagnosis of “UTI” is dangerous. Question it and scrutinize it. In this case, the hyper acute onset of AF RVR in the setting of isolated pyuria was in fact NOT a UTI. It was bilateral PE. UTI is a diagnosis of exclusion (and I could say the same for “CAP”).

Inpt admit for “Falls” is not just “PT/OT” eval. Think about issues with: Gait Balance Vestibular system Nerves/muscle Vision/hearing Cognition Meds Environment CV - BP, HR Was it really a “fall” or could it be syncope/transient LOC? Oh, and do a neuro exam!

“The UA was dirty.”

Ultimately, the decision is up to Tua.

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