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Author Archives: Yamema Esber

Sepsis: A Spoonful of Fluid Helps the Lactate Go Down

There are many more reasons than just hypoperfusion and anaerobic metabolism to explain the lactatemia in sepsis. It follows that there are many more considerations other than buckets of fluid when looking to lower the lactate.

Posted byYamema EsberAugust 12, 2025August 12, 2025Posted inCrit Care, Infectious Disease, TidbitsTags:Crit Care, Infectious Disease, Tidbits1 Comment on Sepsis: A Spoonful of Fluid Helps the Lactate Go Down

(Not) Managing Asymptomatic Hypertension

Severe asymptomatic hypertension (BP > 180/110mmHg) in hospitalised patient is often mistakenly perceived as a call to antihypertensive action. Treat reversible causes, and consider a watch-and-wait approach. However, exceptions and caveats apply.

Posted byYamema EsberApril 17, 2025Posted inCardiology, Nephrology, TidbitsTags:Cardiology, Nephrology, Tidbits

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