The Curbsiders Internal Medicine Podcast

#165 Things We Do For No Reason™ Part 2

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Aug 12, 2019
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INSIGHT

Syncope Diagnostic Uncertainty

  • Syncope is often a diagnosis of exclusion, requiring comfort with uncertainty.
  • Rule out serious conditions, but accept that a definitive cause may not always be found.
ANECDOTE

Aortic Stenosis Murmur Myth

  • The adage about severe aortic stenosis murmurs disappearing is a myth.
  • A 1991 study showed nearly all patients with moderate to severe AS had a murmur.
ADVICE

Docusate Ineffectiveness

  • Avoid docusate for constipation; it's ineffective and delays proper treatment.
  • Use proven options like polyethylene glycol, lactulose, or psyllium instead.
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