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LGBTQIA+ Patient Care
June 1, 2022
Where are we and where are we going? The LGBTQIA+ community has doubled since it was first measured in 2012, according to a 2022 Gallup poll—it now includes 7.1% of Americans.1 As the community...
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New HHS Guidance for Increasing Number of Buprenorphine Clinicians Who Can Treat OUD
June 1, 2022
Does your state allow it? The ongoing opioid epidemic The U.S. hit a grim milestone of more than 100,000 drug overdose deaths,1 most opioid-involved, in the 12 months ending April 2021. This...
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Alcohol Withdrawal: Looking Beyond Benzodiazepines
June 1, 2022
Case Mr. Smith is a 48-year-old man with alcohol use disorder (AUD) and compensated cirrhosis who presented to the emergency department with alcohol withdrawal. He had been consuming one pint of...
Self-identified black patients experience higher rates of occult hypoxemia
May 2, 2022
Dr. Long Clinical question: Are there disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and, if so, is there an association with clinical...
Prescriptions for health and happiness
May 2, 2022
In addition to all the fear and chaos it has wreaked, COVID-19 has changed the way we think about our health. Thanks to the psychological, and even the physical, impacts of protracted quarantines and...
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Interpretation of the Urine Drug Screen
May 2, 2022
Dr. Cunningham Case A 40-year-old male with depression, post-traumatic stress disorder, and chronic pain presents with somnolence and a respiratory rate of 10 breaths per minute that responded to...
Article
What Medications Prevent Delirium in Elderly Medical Inpatients?
May 2, 2022
Case A 79-year-old man with a history of ischemic stroke five months ago presents with fever and shortness of breath. He is admitted for hypoxia secondary to suspected aspiration pneumonia and...
Article
Negative initial CSF studies in HSV encephalitis portend worse neurologic outcomes
May 2, 2022
Clinical question: Does delay in diagnosis of herpes simplex virus (HSV) encephalitis due to negative initial cerebrospinal fluid (CSF) studies affect neurologic outcomes? Dr....
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Statins should be continued in hospitalized patients with COVID-19
May 2, 2022
Clinical question: Does discontinuation of atorvastatin in those hospitalized with COVID-19 change the risk of mortality and ventilation? Dr. Clark Background: Statins are ubiquitous. Statins...
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Non-gastrointestinal complications, including ischemic stroke, are more common than bleeding or perforation following screening colonoscopy in older adults
May 2, 2022
Clinical question: What serious non-gastrointestinal adverse events are due to screening colonoscopy? Dr. Gordon Background: Although the gastrointestinal (GI) risks of colonoscopy have been...
