Search MEDiscuss
81 results, showing 31–40
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The HbA1c Target: The Evidence Behind the Toolmediscuss.org › hba1c-target-evidence-behind-the-tool
Why the HbA1c to treat towards is not the normal value, what UKPDS, DCCT and ACCORD taught us about pushing it lower, where the guidelines disagree, and why an HbA1c can mislead in anaemia: the evidence behind the MEDiscuss CDSS HbA1c Target tool.
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The VOCAL-Penn Score: The Evidence Behind the Calculatormediscuss.org › vocal-penn-score-evidence-behind-the-calculator
Why MELD and Child-Turcotte-Pugh were never built to answer "is this patient with cirrhosis fit for surgery", what the VOCAL-Penn models add, how to read their figures, and what they cannot see in an Indian patient: the evidence behind the MEDiscuss CDSS VOCAL-Penn calculator.
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Acute Hyponatraemia: The Evidence Behind the Protocolmediscuss.org › acute-hyponatraemia-evidence-behind-the-protocol
Why the correction of a low sodium has a speed limit, how to tell when it may go faster, what 3% saline really is, and what to do the morning the sodium has overshot: the reasoning behind the MEDiscuss CDSS Acute Hyponatraemia protocol.
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Alcohol Units, AUDIT-C and Dependence: The Evidence Behind the Pathwaymediscuss.org › alcohol-units-audit-c-evidence-behind-the-pathway
How to turn pegs, quarters and bottles into units, why the AUDIT-C cut-off is lower for women, how to recognise dependence at the bedside, what the AST:ALT ratio and the MCV are telling you, and the errors worth preventing: the evidence behind the MEDiscuss CDSS Alcohol Unit & AUD Pathway.
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Hypertension in the OPD: The Evidence Behind the Pathwaymediscuss.org › hypertension-opd-evidence-behind-the-pathway
How large the hypertension burden is in India, why the three current Indian guidelines disagree on where hypertension begins, white-coat and masked hypertension, how common resistant hypertension is, and the landmark trials behind each step: the evidence behind the MEDiscuss CDSS hypertension OPD pathway.
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Inpatient Insulin: The Evidence Behind the Protocolmediscuss.org › inpatient-insulin-evidence-behind-the-protocol
When each insulin acts, why a high morning sugar can mean too much insulin rather than too little, why dialysis days run low, and why the HbA1c misleads on dialysis: the reasoning behind the MEDiscuss CDSS Inpatient Insulin Protocol.
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Maintenance IV Fluids and Calories: The Evidence Behind the Calculatormediscuss.org › maintenance-iv-fluids-evidence-behind-the-calculator
Why "normal saline at 100 mL an hour" is a salt load, how to read what is in the bag, the obligatory glucose, potassium without harm, the serum sodium and the obese patient: the evidence behind the MEDiscuss CDSS IV Fluid & Calorie Calculator.
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PHQ-9 and GAD-7: The Evidence Behind the Screening Toolmediscuss.org › phq-9-and-gad-7-evidence-behind-the-screening-tool
Why question 9 is read on its own whatever the total, what each PHQ-9 and GAD-7 band suggests, why the two are run together, whether the original cut-offs hold in India, and why a score is not a diagnosis: the evidence behind the MEDiscuss CDSS PHQ-9 + GAD-7 Screening tool.
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Pyrexia of Unknown Origin: The Evidence Behind the Pathwaymediscuss.org › pyrexia-of-unknown-origin-evidence-behind-the-pathway
Why the definition of PUO exists, why the fever must be confirmed before it is investigated, why tuberculosis comes first in India and tissue settles it, and why an empirical trial needs a plan: the reasoning behind the MEDiscuss CDSS Pyrexia of Unknown Origin pathway.
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Reading an Autoantibody Report: The Evidence Behind the Numbersmediscuss.org › reading-an-autoantibody-report
What a positive ANA, a titre, a pattern and a weak band on a line blot can tell you, and what they cannot: the evidence behind two MEDiscuss CDSS tools, with an illustrative case carried through.