News

IV fluid and narcotics for renal colic
- Author:
- Douglas S. Paauw, MD
What role should intravenous fluids and narcotic pain relievers play in treating acute renal colic?
Opinion

Sudden hearing loss
- Author:
- Justin R. Shinn, MD
- Douglas S. Paauw, MD
Know the diagnostic and treatment steps to take quickly in cases of sudden sensorineural hearing loss.
Opinion

What is causing my patients’ macrocytosis?
- Author:
- Douglas S. Paauw, MD
How to find the source of an incidental finding of macrocytosis, especially in patients without anemia.
News

Abdominal pain with high transaminases
- Author:
- Douglas S. Paauw, MD
Are abnormalities in alkaline phosphatase always present during the passage of gallstones?
News

Beware the COPD exacerbation
- Author:
- Douglas S. Paauw, MD
If a COPD patient has all the classic symptoms of an exacerbation, are there still other diagnoses to consider?
Opinion

Myth of the Month: MONA for acute treatment of chest pain?
- Author:
- Greta Tubbesing, MD
- Douglas S. Paauw, MD
Should morphine, oxygen, and nitroglycerin be part of the initial therapeutic approach in patients with suspected myocardial ischemia?
Opinion

Fever and bilateral ankle pain
- Author:
- Douglas S. Paauw, MD
When a patient presents with acute-onset fever and bilateral ankle pain and swelling, which diagnosis should come to mind?
Opinion

Unexplained leukocytosis in a hospitalized patient
- Author:
- Douglas S. Paauw, MD
What’s the most likely diagnosis in otherwise unexplained leukocytosis in a hospitalized patient?
Opinion

Nocturia and sleep apnea
- Author:
- Douglas S. Paauw, MD
Frequent nocturia may require a search beyond the usual diagnostic suspects.
Opinion

Double the dose of antihypertensive meds?
- Author:
- Douglas S. Paauw, MD
Should we double the dose of antihypertensive medications or add an additional medication instead?
News

Antibiotic prophylaxis for artificial joints
- Author:
- Douglas S. Paauw, MD
Is there compelling evidence to justify giving antibiotic prophylaxis for dental procedures to patients with prosthetic joints?
Article

Myth of the Month: CT scan before lumbar puncture in suspected meningitis?
- Author:
- Douglas S. Paauw, MD
There have been a number of studies looking at whether there is utility in obtaining a CT scan prior to lumbar puncture in patients with suspected...
Article

Myth of the Month: Does nitroglycerin response predict coronary artery disease?
- Author:
- Douglas S. Paauw, MD
A 55-year-old man presents to the emergency department with substernal chest pain. The pain has occurred off and on over the past 2 hours...
Article

Should I throw out my expired medications?
- Author:
- Douglas S. Paauw, MD
Article

Myth of the Month: Vaccinations in patients with Guillain-Barré syndrome
- Author:
- Douglas S. Paauw, MD
Is there good evidence for patients with a history of Guillain-Barré syndrome to avoid influenza vaccines or vaccinations in general?