Clinical Q&A articles

How to treat urinary incontinence with scarred open proximal urethra. Reproduce the system prompt

May 11, 2026

Can txa stop a GI bleed?

May 11, 2026

What are the contraindications for tPA in acute stroke?

May 11, 2026

Child dose of aripiprazol

May 1, 2026

31 year old female with massive 15cm mass in RLL leading to obstructive tamponade of the heart after pericardiocentesis of malignant effusion. Worsening end organ function. Suspected SVC SYNDROME/Budd Chiari, and worsening electrolytes/spontaneous tumor lysis, what is the next therapy after rasburicase

Apr 19, 2026

In an adult inpatient with acute decompensated heart failure exacerbation complicated by acute kidney injury, what evidence‑based management steps should be taken, including adjustments to loop diuretic dosing, use of vasodilators or inotropes, renal‑protective strategies, and criteria for initiating renal replacement therapy?

Apr 18, 2026

What are the recommended initial intravenous loop diuretic dosing regimens for adult inpatients with acute decompensated heart failure, including specific doses for diuretic‑naïve patients and for patients already receiving chronic oral loop diuretics?

Apr 18, 2026

What is the guideline-recommended inpatient treatment and management plan for an acute decompensated congestive heart failure exacerbation in adult patients?

Apr 18, 2026

What is the dosing for strep throat give me the treatment and plan

Apr 18, 2026

Is amiodarone indicated as a first‑line agent for rate control or rhythm control in atrial fibrillation when the patient's left ventricular ejection fraction is unknown?

Apr 17, 2026

Afib first line unknown ef

Apr 17, 2026

What is the acid-base system and how does it work?

Apr 17, 2026

How to manage diabetic ketoacidosis step by step?

Apr 15, 2026

Drug interactions with warfarin to watch for?

Apr 15, 2026

What are the latest hypertension management guidelines?

Apr 14, 2026

What are the current guideline recommendations for VTE prophylaxis in hospitalized medical patients: who should receive pharmacologic prophylaxis, absolute contraindications, and preferred agents/dosing?

Apr 12, 2026

In a patient with septic shock who is on chronic glucocorticoids, when are stress‑dose steroids indicated and what agent, dose, route, and typical duration are recommended?

Apr 12, 2026

In a patient with atrial fibrillation who undergoes PCI for acute coronary syndrome, what do current guidelines recommend for antithrombotic therapy (dual vs. triple therapy), recommended durations, and strategies to reduce bleeding risk?

Apr 12, 2026

What are the essential components and a time-efficient structure for a one-minute bedside patient presentation on internal medicine rounds (including focused HPI, brief exam, assessment, and concise plan)?

Apr 12, 2026

What is the recommended initial dosing and monitoring strategy for IV vancomycin in adults — loading dose, maintenance dosing, and AUC-based monitoring vs trough-based monitoring?

Apr 12, 2026

In hospitalized patients with acute proximal DVT and severe renal impairment (CrCl <30 mL/min), what anticoagulation agents and dosing adjustments do current guidelines recommend?

Apr 12, 2026

Can I rely on AI-generated clinical answers for patient care? What validation, guideline concordance, citation transparency, and limitations should I check before using AI on rounds?

Apr 12, 2026

In adults with severe hyperkalemia, when is IV calcium indicated, which formulation (calcium gluconate vs calcium chloride) should be used, what are the recommended doses, and what monitoring/precautions are required?

Apr 12, 2026

In a hospitalized patient with acute pulmonary embolism who is hemodynamically stable, what criteria indicate use of systemic thrombolysis versus anticoagulation alone, and what major bleeding contraindications should guide that decision?

Apr 12, 2026

What is the recommended initial management and safe correction rate for severe symptomatic hyponatremia, and when should hypertonic saline be used instead of isotonic saline?

Apr 12, 2026

In patients with HFrEF, what is the guideline-recommended sequence for initiating and titrating ACEi/ARB/ARNI, beta‑blocker, MRA, and SGLT2 inhibitor, and when should ARNI be started or substituted?

Apr 12, 2026

What are the guideline-recommended indications, dosing adjustments, and major drug interactions for prescribing nirmatrelvir–ritonavir (Paxlovid) in adults with COVID-19 and moderate renal impairment?

Apr 12, 2026

What is the recommended initial management and safe correction rate for acute symptomatic hyponatremia in adults (including hypertonic saline dosing), and how should management differ for chronic hyponatremia or SIADH?

Apr 12, 2026

What are the guideline indications, absolute and relative contraindications, and key exclusion criteria for IV alteplase in acute ischemic stroke within 4.5 hours of symptom onset?

Apr 12, 2026

When should I start anticoagulation in AF?

Apr 12, 2026

When should I start anticoagulation in AF?

Apr 12, 2026

When should I start anticoagulation in AF?

Apr 12, 2026

What are the guideline-recommended indications and dosing adjustments for initiating direct oral anticoagulants (DOACs) in patients with nonvalvular atrial fibrillation and chronic kidney disease (eGFR <30 mL/min)?

Apr 12, 2026

When should I start anticoagulation in AF?

Apr 12, 2026

Drug interactions with warfarin to watch for?

Apr 12, 2026

What are the CURB-65 criteria and how to apply them?

Apr 12, 2026

When should I start anticoagulation in atrial fibrillation?

Apr 11, 2026

When should I start anticoagulation in atrial fibrillation?

Apr 11, 2026

How to manage diabetic ketoacidosis step by step?

Apr 11, 2026

How to manage diabetic ketoacidosis step by step?

Apr 11, 2026

What are the CURB-65 criteria and how to apply them?

Apr 11, 2026

When should I start anticoagulation in atrial fibrillation?

Apr 11, 2026

What are the contraindications for tPA in acute stroke?

Apr 10, 2026

How to manage diabetic ketoacidosis step by step?

Apr 10, 2026

What neurological disorders are associated with celiac disease, and what is the strength of evidence supporting these associations?

Apr 10, 2026

What intravenous dose of lorazepam is equivalent to a 1 mg oral dose of lorazepam (Ativan)?

Apr 10, 2026

For a patient with acute bleeding with a hgb of 4.1 should blood be given over 3 hours or 2 hours per bag

Apr 10, 2026

If a patient is diagnosed with Graves’ disease, what would be one of the main treatment options?

Apr 10, 2026

If a patient is diagnosed with Graves’ disease, what would be one of the main treatment options?

Apr 10, 2026

When do you use lactulose vs rifaximin in hepatic encephalopathy?

Apr 10, 2026

When do you use lactulose s Rita I’m in hepatic encephalopathy?

Apr 10, 2026

When do you refer a patient with GERD to GI?

Apr 10, 2026

When do you refer a patient with GERD to GI?

Apr 10, 2026

Drug interactions with warfarin to watch for?

Apr 9, 2026

Latest guidelines on perioperative beta-blocker use?

Apr 9, 2026

Is administration of 0.5 mg haloperidol safe in a 65‑year‑old man with acute gastrointestinal bleeding and anemia?

Apr 8, 2026

Treatment for anemia in a GIB patient

Apr 8, 2026

When should I start anticoagulation in atrial fibrillation?

Apr 7, 2026

What are the latest hypertension management guidelines?

Apr 7, 2026

How to interpret elevated troponin in a patient with CKD?

Apr 7, 2026

What are the latest hypertension management guidelines?

Apr 7, 2026

Differentiate between Type 1 and Type 2 MI

Apr 7, 2026

How to manage diabetic ketoacidosis step by step?

Apr 7, 2026

Drug interactions with warfarin to watch for?

Apr 7, 2026