NLR needs to be interpreted in clinical context

look at NLR for the next thousand evals you do & it will start making sense

short version:

NLR 1-3: normal

NLR ~8-12: moderate stress (most ICU patients, eg DKA, CHF)

NLR >~20: yikes territory (sepsis?)

NLR >40: super yikes (Gram neg rods?)

Doesn’t matter according to the good ol’ DOSE Trial, but more recent data is lacking as far as I know. Personally I use infusion for very high doses to avoid peak concentration for possible adverse event. Otherwise I go once daily bolus.

Already standard of care in Italy, never used midodrine or octreotide

TRUE ‼️

Use this handy chart to remember conversions and glucocorticoid/mineralocorticoid activity of steroids!

www.coreimpodcast.com/2023/06/28/s...

Bingo. Turned out to be acute PE on an already very sick heart (severe AS, moderate to severe MR, trans mitral gradient, AF). Very old patient, still alive at the moment

This is something I say a lot too. People (not the author) seem to think the only thing doctors do is diagnose. In reality, that's a tiny part of a modern doctor's job in the real world. A fancy AI offering diagnostic powers would help me only quite occasionally. Real life is not like House.

Surely LLMs are getting better by the hour, but still they suffer from intrinsic flaws that need to be addressed when using them in real life clinical scenarios.

You pay for its constant peer-review and update process, instead of relying on LLM. I personally use both (my hospital pays for UTD)
medium.com/@underwaterc...