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Loop Diuretic Conversions – Practice Pearls
Loop diuretics (podcast episode) are a mainstay of therapy when we need to eliminate fluid from the body. Heart failure and ascites due to cirrhosis are two of the most common fluid overload disease...
Pyridoxine Clinical Pearls
While pyridoxine (vitamin B6) is a less well-known vitamin compared to cyanocobalamin (vitamin B12), there are some potential consequences from deficiency. I am going to layout pyridoxine clinical...
Medications That Exacerbate IBS-Diarrhea
Irritable bowel syndrome can be very difficult to manage in some patients and once controlled, you can imagine that the patient wants nothing more than to keep their symptoms at bay. I’ve seen...
Hydralazine Clinical Pearls
Hydralazine is a medication that causes vasodilation on the arterioles which ultimately leads to a reduction in blood pressure. It isn’t a medication that is used terribly often and I will discuss...
Leaving The Nicotine Patch On Overnight
In this case scenario, we discuss the potential risk of leaving the nicotine patch on overnight. A 55-year-old female has a history of hypertension, GERD, and is currently a cigarette smoker. She...
Saw Palmetto With Finasteride
I've been asked by patients before if they can take saw palmetto with finasteride. Here's my thought process based upon a case scenario. JS is a 71-year-old male who presents to his annual physical....
2021 BCPS Exam – Developing A Plan and FAQ’s
Preparing for the BCPS exam is stressful. There's a bit of added stress and mystery for those looking into the 2021 BCPS Exam. The content outline changed in the second half of 2020 and so the exam...
Sodium Chloride Supplements – Alarm Order for SIADH
Here's a case scenario where sodium chloride supplements were added, and why I think it is important to recognize what that may mean. KD is a 63-year-old female with a history of bipolar disorder...
Pet Peeve Alert: Can We Have a Constipation Medication?
This might be one of my biggest pet peeves. Adding a medication when we are already doing the opposite with another medication. I had a patient a while back who was taking cholestyramine twice daily...
Why Do Patients Stop Taking Medications?
Why do patients stop taking medications? I’ve spent a lot of time and effort working with patients to improve their drug therapy, but it really doesn’t matter if they don’t actually take the...