Hospital Medicine Alert – November 1, 2013
November 1, 2013
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Brain MRI Helpful for Identification of Causal Lesions in Adults with First Suspected Seizure
In settings in which an admitting neurology service is unavailable, hospitalists may be called upon to care for and initiate an appropriate diagnostic evaluation for adult patients with new-onset seizures. -
Fluoroquinolones and the Risk of Acute Kidney Injury
In men taking oral fluoroquinolone antibiotics, the risk of acute renal failure is doubled, and when combined with renin-angiotensin-system blockers, the risk increases by 4.5 fold. -
Shorter Door-to-Balloon Times — No Change in Mortality
Primary percutaneous coronary intervention (PCI) is the preferred strategy for treating ST-segment elevation myocardial infarction (STEMI). -
Mortality Decline With the Use of a Sepsis Treatment Bundle
This large, multicenter, quality improvement project showed a dramatic reduction in mortality among patients with severe sepsis or septic shock after implementation of a sepsis treatment bundle. -
Mobitz I or Mobitz II AV Block?
Interpret the lead MCL-1 rhythm strip shown in the figure. Does this rhythm represent Mobitz I (Wenckebach) or Mobitz II AV block? Is a pacemaker likely to be needed? -
Clinical Briefs in Primary Care
Evidence-based updates in primary care medicine By Louis Kuritzky, MD -
Pharmacology Watch: Evidence-based updates in clinical pharmacology
Medications for Risk Reduction of Breast Cancer in Women