HomeHospital Medicine
Hospital Medicine
Physician discussions on inpatient care, transitions of care, diagnostic reasoning, and hospital-based protocols.
Recent Discussions
What are the important aspects that you mention when consenting patients for hemodialysis?
1 Answers
Mednet Member
Nephrology · University Of California San Francisco Medical Center At Parnassus
I will answer this question a little differently than I think was the intent of the person asking the question. I find that many patients are resistant to starting dialysis at first. In my first conversation with them, I will make it clear to them that the problem is the kidney failure and not the d...
Is a bone marrow necessary in patient with splenomegaly and polycythemia vera?
1 Answers
Mednet Member
Hematology · UMass Chan Medical School
Yes. Bone marrow is necessary in a patient with polycythemia vera and splenomegaly. There is a possibility of missing ET or associated primary or secondary myelofibrosis. The only way to distinguish between the three bcr-abl negative MPN namely MF, ET, and PV is by performing a bone marrow biopsy an...