Hospital and Internal Medicine Podcast

The Most Important Person That Lived For Our Health and Wellbeing

An (old) New Weapon to Fight Leg Cellulitis

Acute Severe Hypertension - part 1

Elevated blood pressure requires a nuanced clinical approach that extends beyond simple pharmacological intervention. While a 2019 study suggests that bedtime dosing of antihypertensives may improve cardiovascular outcomes, current practice remains heavily skewed toward morning administration. Effective management nece...

Acute Severe Hypertension - part 2

Management of hypertensive urgency and emergency requires balancing clinical guidelines with patient-specific factors and situational constraints. Hypertensive emergencies necessitate ICU admission and intravenous antihypertensives, targeting a 20-25% blood pressure reduction in the first hour, followed by a gradual de...

Acute Severe Hypertension - part 3

Intravenous labetalol functions primarily as a beta-blocker with a 7:1 ratio, whereas oral formulations operate at a 3:1 ratio, necessitating distinct clinical applications. Beyond patient non-compliance, iatrogenic fluid overload serves as a frequent, often overlooked cause of severe hypertension, requiring volume rem...

Acute Severe Hypertension - part 4

Hypertensive emergencies require a clinical shift toward prioritizing mean arterial pressure (MAP) over the systolic and diastolic readings provided by automated blood pressure cuffs. Because these devices measure oscillations rather than auscultatory sounds, their calculated values often lack the precision necessary f...

Interesting Studies, Facts, & Opinions - April 2020 edition

Balkan Reflections Forged By A Virus Lockdown

Recent Interesting Internal Medicine Studies and Facts - December 2019

Anemia of Inflammation - finally understand this common anemia that accomplished doctors often can't explain

Anemia of Inflammation - part 2

Anemia of Inflammation - part 3

Creatine - part 1

Creatine - part 2

Creatine - part 3

Medicare for All? (or maybe you call it Universal Healthcare or Single-Payer)

Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain

Clostridium Difficile - part 1

Clostridium Difficile presents a significant clinical challenge due to the high prevalence of asymptomatic colonization, which often exceeds the rate of active infection in hospital settings. While antibiotic use remains a primary risk factor, other contributors include chemotherapy, advanced age, and proton pump inhib...

Clostridium Difficile - part 2

Clostridium difficile (C. diff) infection presents a clinical spectrum ranging from mild diarrhea to fulminant disease characterized by toxic megacolon, organ failure, and potential mortality. Pathogenesis is primarily driven by Enterotoxin A and Cytotoxin B, with severity influenced by host immune responses and specif...

Clostridium Difficile - part 3

Peripheral eosinopenia upon admission serves as a significant predictor for adverse outcomes in Clostridium Difficile patients, including increased mortality and the necessity for colectomy. Avoiding beta-lactam antibiotics due to documented penicillin allergies—which are frequently misdiagnosed—correlates with a 55% i...