11 results
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
used on a long-term ... Pathophysiology #Nephro #IM ... NephronRemodeling #NEJM
A 27-year-old man with a 2-year history of recurrent, painful skin lesions. A diagnosis of hidradenitis
#Clinical #Derm ... #IM #Hidradenitis ... HidradenitisSuppurativa #NEJM
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
breast cancer IM ... follow-up for long-term ... Uterine #Bleeding #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Start Algorithm - Management ... try Bup 0.3mg IV/IM ... to start with lower ... dosing TID/QID #Management
Trick of the Trade: Naloxone Dilution for IV Use - Given that many ED overdose patients
opioid-naive, lower ... #Management #EM ... #IM #PCC #Naloxone
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• P/E - GI and derm ... , can consider IM ... Deficiency #diagnosis #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
most common long term ... Hospital of Baltimore IM ... Necrosis #diagnosis #management
Evolution of Purpura Fulminans - On physical examination, he had small purpura on his legs (Panel
#Clinical #Derm ... #EM #IM #PurpuraFulminans ... Meningococcemia #NEJM
Chest radiography showed perihilar opacities in both lungs with free air in the mediastinum (Panel A,
interstitial markings and lower-lobe ... Clinical #PCC #IM ... Pneumomediastinum #Influenza #NEJM
A quick infographic on various pearls about atopic dermatitis, a disease with an increasing burden on
risk factors, management ... #management #medications ... Acta Derm Venereol ... EL, Richardson IM