Happy friday.
Today we went through a sad but packed case of a hip fracture with MULTIPLE medical problems.
We discussed the approach to syncope and reviewed the JAMA and JCIM finding in severe aortic stensosis.
We also reviewed the differential to Macrocytic anemia:
which includes reticulocytes, hypothyroid, etoh, liver disease, folate, b12 and MDS
And which Cancers met to bone:
thyroid, breast, kidneys, lung, prostate and testicular.
(mm causes lytic lesions)
Lastly we touched upon the POISE trial about the questionable role for beta blocker in the preoperative setting. ALthough it may help prevent cardiac death, there wasn't a clear role for prevention of overall death... so likely not a clear cut answer if someone has a risk of getting infected.
Have a lovely weekend.
Today we went through a sad but packed case of a hip fracture with MULTIPLE medical problems.
We discussed the approach to syncope and reviewed the JAMA and JCIM finding in severe aortic stensosis.
We also reviewed the differential to Macrocytic anemia:
which includes reticulocytes, hypothyroid, etoh, liver disease, folate, b12 and MDS
And which Cancers met to bone:
thyroid, breast, kidneys, lung, prostate and testicular.
(mm causes lytic lesions)
Lastly we touched upon the POISE trial about the questionable role for beta blocker in the preoperative setting. ALthough it may help prevent cardiac death, there wasn't a clear role for prevention of overall death... so likely not a clear cut answer if someone has a risk of getting infected.
Have a lovely weekend.
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