Morning report #ChoosingWisely tracker featuring @zacfeilchenfeld leading #AMreport at @Sunnybrook. Let’s see what teaching points he makes...#MedEd
Patients with atrial fibrillation do not benefit from treatment with rhythm control meds like amiodarone over rate control meds alone from stroke prevention standpoint. See AFFIRM trial nejm.org/doi/full/10.10…
Now @zacfeilchenfeld reviews toxicity of amiodarone:
GI-nausea, vomiting, liver toxicity
Neuro-peripheral neuropathy
Pulm-interstitial lung dz
Endo-hyper/hypothyroidism
Derm-skin hyperpigmentation
Asked the question: “Does this patient need admission?”
Nice prompt to introduce discussions for whether hospital admission necessary to manage patient’s condition
Now discussing the role of liver biopsy in working up cirrhosis, and asks:
“When would you recommend a liver biopsy? How would the result change your management?”
#MedEd #ChoosingWisely lists recommend asking this question
choosingwiselycanada.org/medical-educat…
Nice demonstration @zacfeilchenfeld for how you can weave #ChoosingWisely concepts throughout #AMreport #MedEd
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