Pearls from Dr. Division Chiefs

Intake Rounds: Refractory Ascites with SBP, Hyponatremia


  • Indications for SBP prophylaxis in Cirrhotics:
    1) History of SBP
    2) Ascites protein component <1 g/dL
    3) GI bleeding

    SBP can precipitate acute renal injury:

    Posted 06/06/16 09:31:30 AM by Adam Faye

  • Diagnosis

    Posted 06/06/16 09:36:36 AM by Adam Faye

  • Reverse S-sign of Golden:

    Posted 06/06/16 09:48:39 AM by Adam Faye

  • SIADH: Hypoosmolar, euvolemic - often will have some of the following features

    Posted 06/06/16 09:59:59 AM by Adam Faye

  • Ectopic ADH secretion from a lung cancer; Most likely Small Cell Lung Cancer.

    Posted 06/06/16 10:07:06 AM by Adam Faye

  • For further reading...

    Albumin for SBP treatment 

    Posted 06/06/16 10:05:40 AM by Adam Faye

  • Intake Rounds: Neutropenic fever and LAM


  • Palbociclib (Ibrance)

    Posted 09/12/16 02:05:23 PM by Anna Krigel

  • Neutropenic fever

    Posted 09/12/16 02:51:52 PM by Anna Krigel

  • mTOR inhibition in LAM (lymphangioleiomyomatosis)

    Posted 09/12/16 03:19:48 PM by Anna Krigel

  • For further reading...

    Palbociclib in combination with letrozole versus letrozole alone as first-line treatment of estrogen receptor-positive, HER2-negative, advanced breast cancer (PALOMA-1/TRIO-18): a randomised phase 2 study (Lancet Oncology)
    Sirolimus in Lymphangioleiomyomatosis (NEJM)

    Posted 09/12/16 03:39:59 PM by Anna Krigel

  • Intake Rounds: Severe epistaxis and disseminated rash in post-transplant patient


  • Cardiac sarcoidosis - most common clinical manifestations are heart block and arrhythmias

    Posted 12/05/16 10:28:47 AM by Anna Krigel

  • Anticoagulants = one of the most common drug classes implicated in ER visits due to outpatient adverse drug events in 2013-2014 according to a recent paper in JAMA

    Posted 12/05/16 10:32:41 AM by Anna Krigel

  • Belatacept

    Posted 12/05/16 10:50:26 AM by Anna Krigel

  • Tzanck smear

    Posted 12/05/16 10:58:13 AM by Anna Krigel

  • For further reading...

    Phase III study of belatacept vs cyclosporine (BENEFIT study)
    US ED Visits for Outpatient Adverse Drug Events (JAMA)

    Posted 12/05/16 10:59:43 AM by Anna Krigel

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