Chief's Morning Reports
This vitamin is a risk factor for calciphylaxis
Vitamin D
NEJM- Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension: a multicenter, randomized, unblinded superiority trial. What was the outcome at 90 days?
No difference in 90-day mortality
In a suspected adrenal crisis, this serum cortisol level drawn ideally between 6am and 9am, suggests a normal adrenal function
Greater or equal to 18 mcg/dL
Biotin can cause falsely high levels of what thyroid function test
T3 and T4
2012 Classification in acute kidney injury (AKI)
KDIGO
Positive “tourniquet test” when a BP cuff is inflated, that supports the presence of microvascular fragility leading to a scarlatiniform-like rash is compatible with this arthropod-borne illness
Dengue fever
NEJM: Cardiovascular Safety of Testosterone-Replacement Therapy (45-80 yo men with low testosterone levels and 1 symptom of hypogonadism). Non-inferior trial. Is TRT non-inferior to placebo? What was the outcome?
In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was noninferior to placebo concerning the incidence of MACE, incidence of composite death from CV causes, nonfatal MI, or nonfatal stroke?
Bismuth quadruple therapy for 1sy line treatment of H. Pylori includes PPI + Bismuth subsalicylate + Metronidazole + ---
Tetracycline
Acute pharyngitis- we treat with oral penicillin V 500 mg or amoxicillin 500 mg two times daily for a total of ..?
10 days
Staging system is a widely used grading system to characterize the extent of disease in patients with hidradenitis suppurativa (HS)
Hurley stages
The commonest site for metastatic embolic phenomena from Lemierre's syndrome
Lungs
Randomized clinical trial and meta-analysis: Mesalazine treatment in irritable bowel syndrome. What was the outcome?
No difference in the outcome- IBS symptoms (satisfactory relief of IBS symptoms at least 50% of the weeks during treatment)
Satisfactory relief of IBS symptoms at least 50% of the weeks during treatment was reported by 32 (36%) patients in the mesalazine group compared to 27 (30%) in the placebo group (p = 0.40).
Abdominal compartment syndrome causes what type of azotemia/AKI?
Prerenal azotemia
1st line treatment for scabies
Topical permethrin or oral ivermectin are the most common first-line treatments in the United States
SLE classification criteria
EULAR/ACR Criteria
This is the most common sub-type of Guillain-Barre syndrome
Acute inflammatory demyelinating polyneuropathy (AIDP)
The American Journal of Gastroenterology: Ten-Day Vonoprazan-Amoxicillin Dual Therapy as a First-Line Treatment of Helicobacter Pylori Infection Compared With Bismuth-Containing Quadruple Therapy.
Non-inferior. Is VA dual therapy non-inferior to bismuth quadruple therapy?
10-day Vonoprazan-Amoxicillin therapies provided satisfactory eradication rates, lower overall AE rates, and similar adherence compared with B-quadruple
ST and/or T wave abnormalities seen in right ventricular hypertrophy
ST depression and TWI in leads V1-V3 and sometimes in leads II, III, aVF
Acute aortic syndromes refers to 3 interrelated conditions with similar clinical characteristics: they are aortic dissection
Intramural hematoma and Penetrating aortic ulcer (also called penetrating atherosclerotic ulcer)
The 2010 ACR Preliminary Diagnostic Criteria for fibromyalgia uses these 2 scoring scales/questionnaires to make a diagnosis
Widespread Pain Index and the Symptom Severity Scale
Manage a patient with ADHD with a substance use disorder
Treat the SUD until stable prior to treating ADHD
Weekly Icodec versus Daily Glargine U100 in Type 2 Diabetes without Previous Insulin- The ONWARDS 1 trial. What was the outcome?
The estimated mean change in the glycated hemoglobin level. Icodec vs. Glargine U100- Icodec was superior and non-inferior.
A class of migraine abortive and preventive medication, an example in the medication class is rimegepant
CGRP (Calcitonin Gene Related Peptide) antagonists
What is the most appropriate next step for a symptomatic patient with low flow, low gradient, and severe aortic stenosis?
Dobutamine stress echo
This scale helps determine the Severity of Facial Nerve Dysfunction in Bell's palsy and to help guide therapy
House-Brackmann rating scale