Articles related to Family Medicine/General Practice

MDCalc.com offers this helpful tool, which calculates creatinine clearance (CrCl) according to the Cockcroft-Gault equation. The tool also allows height input, which analyzes BMI and provides a modified estimate and range.

Often undiagnosed due to its unspecific symptoms, hereditary angioedema (HAE) is a tricky condition that causes many patients unnecessary suffering with unnecessary surgeries and invasive diagnostic/therapeutic interventions. Read on to educate yourself on some of the alarming numbers on the orphan disease.   

The investigational agent – known as REGEN-COV (casirivimab and imdevimab) – was previously granted the Emergency Use Authorization (EUA) for the treatment of mild to moderate COVID-19. Now, those who are at high risk for progression to severe COVID-19, including hospitalization or death, have an option.

Is the debate over? The Morbidity and Mortality Weekly Report (MMWR) discusses this case-control study, which showed that people are twice as likely to get infected again if they are unvaccinated. The debate over vaccinations has been bitter so far, but the results present comforting news for those vaccinated but worried about the fast-spreading Delta variant…while alerting the unvaccinated of their much higher potential to become infected again.

After diagnosis during a partial mastectomy, this patient’s estimated blood loss was 58 mL, causing anemia and requiring a red blood cell transfusion along with ventriculoperitoneal drain placement. With a substantive bleeding history before the diagnosis, what would you do next with this patient? Work her up for von Willebrand disease? Do a complete blood count test to look at platelet count, a peripheral smear to look at the morphology of the platelets, and a coagulation profile? Offer genetic testing for fibrinogen disorders? What would your next steps be? Read the full case presentation and expert opinion to see how your peers responded.

Expecting perfection when it comes to charting? Are you overly self-critical, telling yourself you’ll never get the charts done or you’re just not good at it? Do you go too big, watching your “identity-forming” charting spiral out of control? Keep calm and listen to this KevinMD.com podcast from Dr. Gail Gazelle, an internal medicine physician and the author of the book Everyday Resilience, who shares helpful advice for doctors struggling with these three mistakes.