Calculation and interpretation of the anion gap is extremely useful in the evaluation and treatment of the patient with metabolic acidosis. In this installment, we look at case examples involving patients with multiple sclerosis and urosepsis; COPD, diabetes, and renal failure; and type 1 diabetes.
Researchers report finding a correlation between adverse childhood experiences and chronic obstructive pulmonary disease (COPD) development, with a more pronounced association in women.
In this installment, we look at underlying causes of metabolic acidosis, approaches for evaluating patients with suspected metabolic acidosis, and why measurement of the anion gap is of great usefulness in these cases.
Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial
Agent Orange exposure several decades earlier may increase morbidity from various diseases, some of which have rarely been explored in previous epidemiologic studies.
Out of all possible factors, trauma is the single largest cause of death among Americans aged 46 years or younger.
Researchers at Wake Forest Baptist Medical Center have released a study showing the potential of a dangerous interaction between a common supplement and prescription medication.
Among patients aged 65 years or older who are hospitalized with community-acquired pneumonia, azithromycin lowers the risk of 90-day mortality in exchange for slightly increased odds of myocardial infarction compared to other antibiotic regimens.
Contrary to popular belief, patients who are prescribed antidepressants experience only minimal weight gain within 12 months of treatment.
Results from two studies show that treatment with the novel kinase inhibitor nintedanib significantly slowed disease progression in patients with idiopathic pulmonary fibrosis (IPF). However, only one study showed nintedanib had any effect on slowing deterioration in quality of life or reducing the risk of a first acute exacerbation compared with placebo.
Since surgical patients who develop acute respiratory distress syndrome (ARDS) face a 40% risk of death, a tool that can accurately predict who will develop ARDS is greatly needed.
A study published in BMJ explains the long-term risks of opioid treatment in the postoperative setting.
New research suggests elderly patients with chronic obstructive pulmonary disease who participate in pulmonary rehabilitation programs have improved 10-year survival.
When encouraging and supporting patients to quit smoking, varenicline is unlikely to increase the risk of neuropsychiatric adverse events such as suicide, depression, and aggression, even in patients with pre-existing psychiatric illness.
A 2,000 mg dose of high-quality American ginseng is effective as a treatment for cancer-related fatigue, though it may be better at preventing the condition.
As any pulmonary disease can mimic sarcoidosis, its diagnosis must be supported by all clinical methods involving follow-up radiographs and biopsy.
The new flu vaccine that protects against 4 strains of influenza may be more effective than the traditional 3-strain vaccine, according to a study of approximately 200 children.
The statement that there is no rule without exception is arguably more true in cases of sarcoidosis than in almost any other condition.
One treatment-resistant depression patient's response to over-the-counter cough medicine led Steven P. Levine, MD, to study the mechanism and effects of dextromethorphan in depression.
Primary prevention measures for upper GI bleeding should include NSAIDs, antiplatelet therapy, and anticoagulants appropriately, while secondary preventive measures should include testing and treating H. pylori and using long-term PPIs when appropriate.
Plenary session at CHEST 2013 focused on the impact of early warning scores, medical response teams, availability of critical care attending intensivists, and other quality measures in intensive care.
Case study presented at CHEST 2013 details the experience of a patient with hepatitis C who, after undergoing liver transplant, died after developing a serious lung infection and other complications.
Study results presented at CHEST 2013 show that patients given beta-blockers may actually be at increased risk of having an adverse cardiac event during a noncardiac surgical procedure.
A systematic review of 14 randomized controlled trials found a probiotic Lactobacillus strain taken daily lowers the risk of acute upper respiratory tract infection (URTI) without increasing the risk of adverse events.
Citing an increased risk of liver injury observed in recent clinical trials, the US Food and Drug Administration (FDA) has limited Samsca (tolvaptan) treatment to 30 days and recommended the oral selective vasopressin V2-receptor antagonist be discontinued in patients with signs of liver disease or symptoms of liver injury.
