Physician-informed medical book reviews and clinical education resources.
“a well-developed knowledge of clinical microbiology is critical for the practicing physician in any medical field. Bacteria, viruses, and protozoans have no respect for the distinction between ophthalmology, pediatrics, trauma surgery, or geriatric medicine. Microbiology is one of the few courses where much of the ‘minutia’ is regularly used by the practicing physician.” Mark Gladwin … Read more
The following is an expanded differential diagnosis of shock. Please let me know if you’d consider adding anything to the list! Cardiogenic Arrhythmias Impaired contractility (volume overload, ischemia, drugs, toxins, electrolyte disorders) Structural problems (valvular abnormalities, etc.) Obstructive Endovascular: pulmonary embolus, atrial myxoma or thrombus Exo-vascular: cardiac tamponade, hypertrophic cardiomyopathy, tension pneumothorax, tension mediastinum, breath … Read more
Etiology Traumatic: exercise, Foley catheterization, nephrolithiasis, coitus Infectious: urinary tract infections Malignant: bladder, kidney, prostate Vascular: renal infarct, renal vein thrombosis, sickle cell disease and trait Toxic: cyclophosphamide, antiplatelet agents, anticoagulants, NSAIDS Spurious: menses Workup Step 1: discontinue offenders Anticoagulants and antiplatelet agents Hemorrhagic cystitis: isophosphamide, cyclophosphamide, radiation therapy, methotrexate stone forming agents: loop diuretics, anticonvulsants, … Read more
Choosing the wrong imaging study leads to unnecessary costs, complications, and side effects (no citation needed!). Yet many seasoned clinicians sometimes have trouble with knowing what imaging study to order. I think the author was correct in stating: “I wrote Symptom Based Radiology to help primary care providers make better use of radiology services. The … Read more
White cell disorders Tumor lysis syndrome → allopurinol, hemodialysis Leukostasis (leukemia patient with very high white cell count and neurological changes) → leukophoresis Acute hyperviscosity syndrome (in Waldenström macroglobulinemia) → plasmapheresis Red blood cell disorders Methemoglobinemia → oxygen, methylene blue Sickle cell emergencies: Acute calculous cholecystitis → antibiotics, consider surgical intervention Acute splenic sequestration crisis (shock, LUQ pain, acute … Read more
Brain CT Scans in Clinical Practice by Usiakimi Igbaseimokumo MD is concise, sharp, brilliantly written, practice changing, and full ofnumerous helpful clinical pearls. In places, the advice is extremely straightforward: blood clots or tumours in the brain deep to the pia mater are called intraaxial and those outside the pia are called extra axial. (P. 26-27) … Read more
Atlas of Tropical Medicine and Parasitology (2007) by Wallace Peters and Geoffrey Pasvol offers a bleak and sometimes depressing window into the state of health, or lack thereof, of underdeveloped countries, particularly those in Africa. The names of the diseases and symptoms are fearsome and sometimes curious: dengue, blackwater fever, rabies, leprosy, bubonic plague and more. The … Read more