Hospital Medicine Consultations Archive

Dialysis access when both arms have shunts

If a patient has a nonfunctional arteriovenous (AV) shunt in one arm and a functional shunt used for dialysis in the other, does the avoidance of an IV access in the arm with the nonfunctional shunt still apply?

What causes delirium?

Is it possible to have a geriatric patient in serious delirium while all labs and urinalysis are within normal limits?

Are iodine preparations safe for treating pressure sore eschar formations?

The use of povidine-iodine in wound care is controversial. Several experimental studies have demonstrated concerns regarding its safety and effect on wound healing.

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