Inpt Day 4: Will my patient have severe alcohol withdrawal while hospitalized?

Consider using the PAWSS screening tool to identify if high-risk. If screen negative, likely do not need CIWAs.

Specificity 99.5%, Sensitivity 93.5% (approaches 100% when combined w EMR review).
PAWSS = Prediction of Alcohol Withdrawal Severity Scale

PAWSS 4+ is positive
PAWSS <4 is negative

doi.org/10.1093/alcalc…. #foamed #medtwitter

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More from @MelBreggs

8 Dec 19
Inpatient Day 7:
1/ Our patient's TEE came back with an aortic valve lesion concerning for a "Lambl's Excrescence".

I had no idea what this was...so, after some research here is a brief #MedTweetorial on Lambl's Excrescences:

#Foamed #DailyInptPearl #PostItPearl
2/ First, a pre-tweetorial poll:
Which of the fllowing are patients with Lambl's Excrescence at risk for:
3/ DEFINITION:
🔷Lambl's Excrescences (LEs) are fibrous valvular strands
🔷Usually occur at coaptation lines of left-sided valves from wear/tear of valves ➡️endothelial injury
🔷Made up of collagenous and elastic fibrils
🔷Unusual, but significant source of thromboembolism (CVA)
Read 11 tweets

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