I missed this when it came out: 2024 HHS/DKA guidelines:
No more "the gap has closed".
Following the anion gap is no longer recommended.
Instead, follow plasma ketones directly, venous pH, and/or bicarbonate.
Why isn't thiamine (vitamin B1) added to alcohol to prevent Wernicke–Korsakoff syndrome, like folate in bread?
In 1940, this was attempted. Thiamine was stable in alcohol, but laws prevented it 🚫
Here’s what happened 🧵1/9
A really important thread for the public/non-medics to read. Highlights the danger of using patient satisfaction as a metric, when that can too often be tied to how many investigations someone is willing to do or how many interventions to make
Looking forward to our @ManchesterSU#AskDoc student society, delivering a webinar on #mentalhealth in ethnic minority communities.
Talk is tomorrow, Tuesday 6th April, at 7pm!
Excellent speakers, including @Medicine_UoM alumni Dr @nomaan_z