Cirrhosis Ascites: Spironolactone is given in 5:2 ratio with furosemide
eg (MUCH higher than CHF dose)
Spiro 100: Furosemide 40
Spiro 200: Furosemide 80
Spiro 400: Furosemide 160
Cirrhosis with any Upper GI bleed=Use ceftriaxone prophylaxis
President Obama was our first and only Black President in history.
Not only that, but he was Harvard educated. A State Senator. And a US Senator. He was dignified, and intelligent, and compassionate, and only had ONE Wife, to whom he remained loyal and devoted.
And I will NEVER forgive the bullshit trump put him through with the birth certificate. He tried to say Obama wasn't American.
And long after his asinine myth was debunked, he REFUSED to apologize for his malicious lies.
I blame the media for inadequately holding his lying, racist feet to the fucking fire. They just moved on from that nonsense like it was OK.
There is a long ass list of things trump shouldn't be forgiven for, like his refusal to rent to Black people, and what he did to the Central Park Exonerated, and for all the women he has sexually assaulted, but I will NEVER forgive him for that.
Nor should anyone.
@Donmmarc@BernieSanders Well then I guess the Cameroonians should get on that....the US needs to stop interfering in the affairs of others without just cause of UN support. We can't afford it any more.
New intern tip: Want to improve your EKG skills? Learn to recognize LBBB RBBB and LVH. These are all very common. You will see them often and can practice your skills easily. They also have ST-T wave changes that mimic ischemia. Learn to recognize these.
Sometimes it seems like anti-vaxxers and anti-maskers share a common belief that spreading disease and making others sick is their God-given purpose in life. But everyone is capable of redemption. We must never give up on educating and reaching out to them, especially their kids.
Healing our nation's deep racial wounds begins with an honest and accurate diagnosis. We at OnlineMedEd unreservedly say that Black Lives Matter, and that sweeping systemic changes need to be made at all levels to reflect it.
Sinusitis:
*Intranasal steroids are BEST
*Antihistamines-okay
*Nasal saline GREAT
*Topical decongestant-oxymetalozane great
*NOT GOOD: Macrolide antibiotics or TMP/SMZ