Article
Mirtazapine Administration Associated with Moderate Risk of Hyponatremia
March 1, 2023
Clinical question: What is the incidence of hyponatremia in patients treated with mirtazapine? Background: The development of hyponatremia has been associated with selective serotonin inhibitors and...
Article
Aggressive IV Fluids Plus Rectal NSAIDs Don’t Prevent Post-ERCP Pancreatitis
January 3, 2023
Dr. Moulder Clinical question: Does the addition of aggressive intravenous hydration to rectal nonsteroidal anti-inflammatory drugs (NSAIDs) help prevent post-endoscopic retrograde...
Article
Syncopal Event Doesn’t Necessarily Mean Driving Restriction
January 3, 2023
Dr. Young Clinical question: Do patients with first syncopal events suffer more motor vehicle collisions (MVCs) than patients without syncope? Background: Recommendations for driving...
Article
Legionella Risk Model Guides Appropriate Testing
January 3, 2023
Dr. Crane Clinical question: Can select patient demographic data and risk factors help predict Legionella infection better than clinical gestalt or current Infectious Diseases Society of America...
Article
Initiation of Empagliflozin in Hospitalized Patients with Acute Decompensated HF Improves Clinical and Symptomatic Outcomes at 90 Days
January 3, 2023
Dr. Kerley Clinical question: Does initiation of empagliflozin in hospitalized patients with acute decompensated heart failure improve clinical outcomes and symptom burden? Background: Studies...
Article
Issues Related to Testing are the Most Common Source of Diagnostic Errors in Primary Care
January 3, 2023
Dr. Dreicer Clinical question: How can we categorize diagnostic pitfalls leading to diagnostic errors in primary care? Background: Diagnostic errors are a leading cause of malpractice claims and...
Article
Rivaroxaban Monotherapy is Preferable to Combination Therapy with Antiplatelets with Regards to Total Cardiovascular and Bleeding Events in Patients with AF and Stable CAD
January 3, 2023
Dr. Clemo Clinical question: Is there a difference in total thrombotic and/or bleeding events in patients with atrial fibrillation (AF) and stable coronary artery disease (CAD) on rivaroxaban...
Article
Using POCUS of the Internal Jugular Vein to Predict Central Venous Pressure
December 1, 2022
Dr. Lawson Clinical question: Does point of care ultrasound (POCUS) of the internal jugular vein accurately predict central venous pressure? Background: Assessing volume status is critical to...
Article
Parathyroidectomy Does Not Reduce Mortality or Morbidity in Mild Primary Hyperparathyroidism
December 1, 2022
Dr. Morvant Clinical question: Does parathyroidectomy improve mortality or morbidity in mild primary hyperparathyroidism? Background: It is known that in patients with severe hypercalcemia or...
Article
The Use of Magnesium Sulfate for Acute COPD Exacerbations
December 1, 2022
Dr. Sundararaghavan Clinical question: Can magnesium sulfate be used as an efficacious adjunct therapy in the treatment of chronic obstructive pulmonary disease (COPD)...