Category: Tanenbaum Night Pages

Acute Coronary Syndrome (ACS) includes STEMI, NSTEMI, and unstable angina (UA). In the era of high sensitivity troponin, UA has become a slippery diagnosis but

Sometimes the cause of acute altered mental status (AMS) is obvious: the patient is septic from an apparent source, or having a hemorrhagic stroke clearly

With type II diabetes, keep it simple on the in-patient side. Non-Insulin Medications With room for thoughtful exceptions, when a patient is admitted to the

Managing patients with bacterial infections is part of the bread and butter of internal medicine. Sometimes the infectious source is obvious, but other times no

The kidneys tend to be innocent bystanders that suffer secondary to systemic illness or failure from another organ system. Acute kidney injury is extremely common

Briefly, unless the patient has a specific condition that requires blood pressure management (acute stroke, aortic dissection, etc.) or a change in their clinical status,

It is very difficult to spend a week on a hospital medicine rotation without encountering an abnormal sodium value. Hypernatremia is easy to evaluate and

Unfortunately, the first symptom of hyperkalemia can be death due to arrhythmia. Severe hyperkalemia, especially with associated EKG changes, should be treated as an emergency.