Jonathan McIntyre, MD
Article
Interpretation of Serum Ammonia Level
December 2, 2024
A 77-year-old woman with a history of hepatitis C cirrhosis presents to the emergency department with 24 hours of progressive confusion and disorientation. The physical exam is notable for...
Article
Bridging the Gap: How Do You Interpret an Osmolal Gap?
November 1, 2023
Case A 53-year-old man with chronic kidney disease on hemodialysis presented with abdominal pain, nausea, and vomiting. He drinks three to 12 beers daily and denied ingestion of toxic alcohol. Labs...
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News
ARNIs effective for acute decompensated heart failure
September 9, 2019
In patients hospitalized for acute decompensated heart failure with reduced ejection fraction (HFrEF), is an angiotensin receptor–neprilysin inhibitor (ARNI) as effective as enalapril in reducing levels of N-terminal of the prohormone brain natriuretic peptide (NT-proBNP)?
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News
Health care–associated infection rates going down
September 6, 2019
Have targeted quality improvement measures led to an improvement in the prevalence of health care–associated infections (HAIs)?
