Science Based Medicine

JANUARY 24, 2025

In 2017, Dr. Vinay Prasad said an anti-vaccine doctor was a "quack". What changed? The post Dr. Vinay Prasad 2025 = Dr. Kelly Brogan 2015 first appeared on Science-Based Medicine.

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The Evolution & Medicine Review

JANUARY 24, 2025

The abstract deadline is February 3 for the 10th annual meeting of the International Society for Evolution, Medicine, and Public Health will be at Vanderbilt University in Nashville this year, just before a big symposium to celebrate the centenary of the Scopes trial.

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Ken Grauer, MD

JANUARY 24, 2025

I was sent the ECG in Figure-1 without clinical information. I interpreted the rhythm as AFib ( A trial F ibrillation ). QUESTION: Do you see anything else? Figure-1: The initial ECG in today's case. Take another LOOK. To facilitate description I've numbered the beats in Figure-2. Figure-2: I've numbered the beats from Figure-1. Confession: I initially looked at this tracing too quickly.

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EKG/ECG Stroke 236

Dr. Smith's ECG Blog

JANUARY 24, 2025

Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD) presented with acute substernal chest pressure with diaphoresis which woke him from sleep just after midnight. He said it felt like "someone ripped [his] heart out." Ominous. While walking into the ED, the patient had an episode of "dizziness" causing him to fall onto his stomach.

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EKG/ECG Hospitals Wellness 108

Sensible Medicine

JANUARY 24, 2025

I frequently get asked whether learning critical appraisal is still important. The argument is that with the complex ways that industry – pharma and device makers — manipulates trials, appraising trials is hopeless unless you have at least an MPH. I totally disagree with this sentiment. A little bit of common sense, an understanding of study design, and some basic stats can carry you a very long way.

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Research Hospitals Outcomes Wellness 97

Mind The Bleep

JANUARY 24, 2025

A brief guide to help you distinguish between inflammatory and non-inflammatory arthritis in UKLME MCQs. Inflammatory Arthritis Inflammatory arthritis will present with: Joints which have pain, stiffness and swelling. Symptoms worse at rest Symptoms get better with activity Symptoms worst in the morning Stiffness which lasts over 30 mins There are many different types of inflammatory arthritis, these include but are not limited to rheumatoid arthritis, psoriatic arthritis and reactive arthritis.

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The Bottom Line

JANUARY 24, 2025

ADAPT-Sepsis: PCT or CRP-guided Antibiotic Duration for Patients with suspected Sepsis Dark et al. JAMA Dec 9 2024. doi:10.1001/jama.2024.26458 Clinical Question For critically ill adults with suspected sepsis, does a procalcitonin (PCT) guided or C-reactive protein (CRP) guided antibiotic discontinuation prompt, compared with usual care, reduce the total duration of antibiotics without increasing all-cause 28-day mortality?

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Sepsis 88

Mind The Bleep

JANUARY 24, 2025

Pressure ulcers, also known as bedsores, are a unique subset of wounds caused by prolonged pressure or pressure combined with shear. [1] These injuries primarily affect areas over bony prominences and are particularly common in patients with limited mobility. Early identification and management are critical to prevent further tissue damage and systemic complications. [1][2] Predisposing Factors Pressure ulcers can occur due to various intrinsic and extrinsic factors [2]: Intrinsic factors : Limi

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Sepsis Documentation/Coding Outcomes Ultrasounds 52

Mind The Bleep

JANUARY 24, 2025

Ophthalmology 101- Eye history and red flags for UKMLA “Doctor, my eye is red and painful” – this article will provide tips and tricks on taking an ocular history along with common pitfalls. Ophthalmology 101 will cover the foundational basics which we will build on over the next 4 sessions (and corresponding articles) covering high-yield ophthalmology content.

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Fractures Outcomes 52