Each and every RRT 😅

Algorithm for initiation of diuretic titration in patients with acute decompensated heart failure (doi:10.3949/ccjm.89a.22016)

Shunichi Nakagawa Can u elaborate more please? I didn’t get your point. Thanks

Mazen Many physicians go to the code status discussion right after the prognosis. First, you need to know the patient as a person. x.com/snakagawa_md/s…

Beautiful sculpture on the High Line in NYC. Makes me think of blood flow to an organ. What does it resemble to you?

The pancreas when touched during ERCP 😅

THROMBOCYTOPENIA IN CIRRHOSIS I recently heard a hepatologist proclaim that if a patient does not have thrombocytopenia they do not have cirrhosis. Hmmm. Close but no cigar. 20% of patients with compensated cirrhosis have a normal platelet count.

The SENIOR-RITA trial found that an invasive strategy involving coronary revascularization plus medical therapy did not significantly reduce the risk of cardiovascular death or nonfatal myocardial infarction compared to a conservative medical therapy approach in older patients

Aspirin Monotherapy vs No Antiplatelet Therapy in Stable Patients With Coronary Stents Undergoing Low-to-Intermediate Risk Noncardiac Surgery | Journal of the American College of Cardiology jacc.org/doi/10.1016/j.…

Davide Capodanno Our data shows the opposite. Retrospective but much larger cohort size. Using 2,317 adults with a median age of 86 (!) we show how invasive approach is associated with improved survival among older adults with NSTEMI irrespective of frailty status mayoclinicproceedings.org/article/S0025-…

I don’t care what anyone says, an elderly patient with abdominal pain is a medical or surgical emergency until proven otherwise.

It's happening.....

🧵 Read the most popular JAMA Internal Medicine articles published in 2024. 🔗 ja.ma/4fE3IZV

DKA with normal glucose with the use of SGLT2 inhibitors is an important thing. Those drugs are gonna be everywhere and they’re never going away and so recognizing a low serum bicarb high and gap with the glucose that’s just a tiny bit above normal is a big deal

The 🆕 AHA/ACC/Multisociety #ClinicalGuideline on high blood pressure provides updated recommendations for clinicians on the prevention, detection, evaluation, and management of high blood pressure in adults. Get the details ➡️ bit.ly/4oAz21p #Hypertension #JACC

✅ The good old stethoscope 🩺 might be making a comeback in VHD aided this time by AI for respectability! ✅ Another example of back to the future Benoy Shah MD Partho P Sengupta Vic Ferrari MD David H. Wiener, MD Dr G Rajesh (Gopalan Nair Rajesh). Hany Ragy Ritu Thamman MD John P Erwin III MD MBA MACC (#BigPoppy )

ICU/ED Secrets: IKYK but whenever you hear that a patient "tolerates Bipap very well", it's useful to remember that there are 2 ways he may tolerate it: #1: he is comatose/barely responsive #2: he is comfortable/awake or easily arousable & can communicate I see scenario #1

I'm thrilled to announce the 10th edition of Talley & O'Connor's CLINICAL EXAMINATION: A systematic guide to physical diagnosis has just been published (Dec 1st, 2025). It is humbling medical students in Australia, New Zealand, UK, Ireland, South Africa, Pakistan, Malaysia,

the MOST common WRONG management of endocarditis is... NOT getting THREE blood cultures BEFORE the start of antibiotic. second most common WRONG management of endocarditis NOT getting enough blood into the blood culture bottles. Needs TEN (10) TEN milliliters into EACH bottle.