Internal medicine journal
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Internal medicine journal · Apr 2021
Letter Case ReportsAn unusual presentation of neuro-ophthalmic syphilis.
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Internal medicine journal · Apr 2021
Meta AnalysisDesmopressin acetate to prevent bleeding in percutaneous kidney biopsy: a systematic review.
Kidney biopsy is the gold standard for diagnosing kidney disease but may result in bleeding, especially in uraemia. DDAVP (1-deamino-8-d-arginine vasopressin) may reduce uraemic bleeding but guidelines on its use are lacking. ⋯ Currently available prospective data are insufficient to support the routine use of DDAVP prior to percutaneous kidney biopsies hence high quality trials are required.
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There have been marked improvements in the management of stroke in Australia over the past two decades. The greatest benefit has accrued from public health measures including reduced smoking rates and treatment of hypertension and hypercholesterolaemia. ⋯ Reducing the burden of stroke requires intervention across the health system from primary prevention through diagnosis, acute treatment, rehabilitation and secondary prevention. In this review, we will cover the changes in the epidemiology of stroke, public health measures in primary prevention of stroke, and acute management and secondary prevention of ischaemic stroke and primary intracerebral haemorrhage.
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Internal medicine journal · Apr 2021
Impact of a model of care for heart failure in-patients to reduce variation in care: a quality improvement project.
We identified variation in delivery of guideline recommended care at our institution, and undertook a project to design a heart failure (HF) model of care. ⋯ This model of care resulted in overall trends of reductions in 30- and 90-day readmissions, without increasing emergency department representations, mortality and length of stay. This model will be adapted as the electronic medical record is introduced at our institution.