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#88 Acid base, boy bands, and grandfather clocks with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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How to Diagnose a Cougar Acute or Chronic Respiratory Acidosis

In medicine, we don't use ockham's razor. We use hiccums dictum Right and if you have two explanations that both satisfy the facts The simpler one is probably true, but hiccums dictate says patients can have as many dam diseases as they want. There's nothing in the abg that guides you to the answer You actually have to look at the patients and do a physical exam And I know how upsetting that is to a lot of nephrologists that we can't use the numbers to determine whether it's acute or chronic But that's just the way it is you need to look at your patients.

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