A practical approach for identifying an underlying cause is to first screen for common ones.
The procedure has evolved to become a safe and effective treatment for atrial fibrillation.
The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.
The Clinical Picture
The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.
Symptoms to Diagnosis
The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defibrillator and amiodarone.
Current evidence suggests little reason to prescribe calcium, and vitamin D should be for patients with low levels.
From the Editor
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.
Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.
Set modest calcium targets, maximize dietary intake, and make up the deficit with calcium citrate.