May 27, 2024
Contributor: Aaron Lessem MD
Educational Pearls:
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Oseltamivir (Tamiflu) is an antiviral medication used commonly to treat influenza
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Trials show that the medication reduces the duration of illness by less than 1 day (~16 hours in one systematic review)
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Benefit only occurs if taken within 48 hours of symptom...
May 20, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
Epinephrine is essential in the treatment of anaphylaxis, but is epinephrine dangerous from a cardiovascular perspective?
A 2024 study in the Journal of the American College of Emergency Physicians Open sought to answer this question.
Methods:
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Retrospective...
May 13, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
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Opioid overdoses that are reversed with naloxone (Narcan), a mu-opioid antagonist, can precipitate acute withdrawal in some patients
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Treatment of opioid use disorder with buprenorphine can also precipitate withdrawal
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Opioid withdrawal symptoms include nausea,...
May 6, 2024
Contributor: Travis Barlock MD
Educational Pearls:
How do you differentiate between compensated and decompensated cirrhosis?
Use the acronym VIBE to look for signs of being decompensated.
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V-Volume
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Cirrhosis can cause volume overload through a variety of mechanisms such as by increasing pressure in the portal vein...