1774 results
What is Asymptomatic Bacteruria (ASB)?
Bacteriuria (isolation of urinary pathogen at ≥10^5 CFU/mL in mid-stream urine) in
Asymptomatic Bacteruria (ASB ... UTIs by altering microbiome ... @RSchonnop #ASB
Lung Microbiome - The dysbiosis-inflammation cycle. Inflammation of the airways alters environmental growth conditions of airway
Lung Microbiome ... conditions of airway microbiota ... in a disordered microbiome ... #Lung #Microbiome
NAFLD / NASH Progression Timeline
Healthy Liver → NAFLD/NASH → 0.25-3.2%/year → Cirrhotic NASH → 0.3-2.6%/year →
Polymorphisms, Gut microbiota
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
normal marine microbiota ... Hippocrates in 5 BC as
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
them on ACEI or ARB ... the target dose (as ... tolerated ACEI/ARB ... replacing ACEI/ARB ... certain situations as
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
to liver than AST ... elevated ALP • AST ... NT: ↑ • ALP > AST ... • Near normal AST ... hematoma) • AST
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
CDI • Fecal Microbiota
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
plus aspirin (ASA ... 3 months, but ASA ... continued lifelong as
Angiotensin Receptor Blockers 
Recommended Dose Conversions 

Valsartan 
Irbesartan 
Losartan 
Olmesartan 
Telmisartan 
Candesartan 
Azilsartan 
Eprosartan 

A few
As a refresher, ... initiating an ARB ... Receptor #Blockers #ARB
Hemolysis - Differential Diagnosis Framework

1) Environment
  - Fragmentation
  - MAHA: TTP, HUS, DIC, HELLP
Grafts, Valves, AS ... Bilirubin ↑ - AST