OBJECTIVE To evaluate the prevalence of antibiotic de-escalation in patients diagnosed with severe sepsis or septic shock at a public academic tertiary hospital and to evaluate antibiotic adequacy and culture positivity. METHODS The prevalence of antibiotic de-escalation, the adequacy of antibiotic treatment and the rates of culture positivity were… (More)
BACKGROUND Cardiac troponin levels have been reported to add value in the detection of cardiovascular complications in noncardiac surgery. A sensitive cardiac troponin I (cTnI) assay could provide more accurate prognostic information. METHODS This study prospectively enrolled 142 patients with at least one Revised Cardiac Risk Index risk factor who… (More)
We report a case of a patient with adrenal failure due to bilateral adrenal metastasis of lung cancer. This is a rare presentation of lung cancer. We review the differential diagnosis of weight loss and how to make diagnosis of adrenal insufficiency.