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Cleveland Clinic Journal of Medicine
Explore this comprehensive guide on evaluating a low anion gap and enhance your diagnostic capabilities. Don’t miss out on the opportunity to learn more.
Internal Medicine October 19th 2023
Clinical Advisor
Medication Prescribing Error: A Medical Malpractice Case with Tragic Consequences In an evolving healthcare ecosystem, the need for rigorous medication dosing protocols based on patient-specific conditions is underlined in a recent medical malpractice case involving a nurse practitioner and an unfortunate prescription error.
All Specialties June 6th 2023
Northwestern Medicine
Advancing kidney health. Nanoscience. Bioanalytics. Biomaterials. Fighting pediatric leukemias. What’s the common thread? They describe the areas of research focus for four electees to AAAS this year.
All Specialties May 2nd 2023
Specialty Pharmacy Continuum
At the 2023 HIMSS meeting, Dr. Sandra Kane-Gill discussed a new alert system being developed at UPMC to improve care for patients at risk for drug-associated acute kidney injury (AKI). According to Dr. Kane-Gill, drugs are involved in approximately 30% of AKI cases in hospitalized patients, but imprecise alert systems mean that at-risk patients could be overlooked. To address this challenge, Dr. Kane-Gill led a consensus-building project to identify 20 drugs that are probably or definitely nephrotoxic with routine use. UPMC has developed a prototype alert tool for AKI that uses this list of nephrotoxic drugs to accurately detect AKI in patients. Preliminary results indicate that for every five alerts generated, there was one case of drug-associated AKI, a higher accuracy rate than for other alert systems. Dr. Kane-Gill plans to further refine the alert tool before deploying it in practice at UPMC and is also interested in using machine learning to prevent episodes of kidney injury.
Clinical Pharmacology April 27th 2023
ACP Internist
A young woman with progressive autosomal dominant PKD is seen for follow up. She had a recent infected kidney cyst. Except for a palpable right kidney, the exam is unremarkable. Labs show a decrease in eGFR from a year prior. She is on lisinopril. What is your approach to treatment now?
Family Medicine/General Practice April 19th 2023
British Medical Journal
In an analysis of 19 studies across 12 countries involving more than 25,000 participants, individuals in highest 20% bracket for omega 3 levels had 13% less risk for developing CKD compared with participants in the lowest 20% bracket. Results were consistent and independent of subgroup variables of age, GFR, hypertension, CAD, and diabetes.
Gastroenterology January 25th 2023