tag:blogger.com,1999:blog-112888402023-02-26T17:39:43.847-05:00Kidney NotesNotes on Medicine, Science, & Technology from a Nephrologist in New York City.Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.comBlogger7260125tag:blogger.com,1999:blog-11288840.post-54688298167751418782023-02-24T09:09:00.050-05:002023-02-26T11:41:19.253-05:00The Mountain Model of Hyponatremia<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1a0H4nsPqdgQAZEMSBvtmFmGrmoz3ZeYjbOgR-2yRdnYKQyPhnGP1OETiMEc9PY88scInLXovFjj7Tsnmvjf-rhKwyRbbq0F1nyaHFcUlnMuuKvSoWJI04esMUfTDc6dXyHKUp5mDw_h8FwoQYN12B6NlS0BCN1yBQ2PCXqGOR_eznApK5Q4/s1902/Car%20Driving%20Down%20a%20Mountain.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1069" data-original-width="1902" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1a0H4nsPqdgQAZEMSBvtmFmGrmoz3ZeYjbOgR-2yRdnYKQyPhnGP1OETiMEc9PY88scInLXovFjj7Tsnmvjf-rhKwyRbbq0F1nyaHFcUlnMuuKvSoWJI04esMUfTDc6dXyHKUp5mDw_h8FwoQYN12B6NlS0BCN1yBQ2PCXqGOR_eznApK5Q4/w400-h225/Car%20Driving%20Down%20a%20Mountain.png" width="400" /></a></div><p></p><p>“The Mountain Model of Hyponatremia” is an educational project by <a href="https://pbfluids.com">Joel Topf</a> and me.</p><p>Imagine this is the clinical scenario of severe hyponatremia:</p><p></p><ul style="text-align: left;"><li>You are driving in a car at the top of a mountain. (The top of the mountain is the low sodium level.) </li><li>There is a forest fire behind you. (The fire represents brain swelling and seizures if the sodium level drops much lower.)</li><li>Your goal is to drive safely to the bottom of the mountain. (The bottom of the mountain is a normal sodium level.)</li><li><u>But,</u> to be safe, you must follow the “sodium speed limit”: a rise in sodium of 8 every 24 hours. (If you exceed this “sodium speed limit,” you increase the risk of a car crash: <a href="https://www.uptodate.com/contents/osmotic-demyelination-syndrome-ods-and-overly-rapid-correction-of-hyponatremia">osmotic demyelination syndrome</a>.)</li></ul><p></p><p>Based on this model, there are five possible therapies for patients with hyponatremia: </p><p></p><ol style="text-align: left;"><li><u>Press the accelerator (when the car is in “drive”)</u>: 3% (hypertonic) saline</li><li><u>Press the accelerator (but the car may be in “drive,” “neutral,” or even “reverse”)</u>: 0.9% (normal) saline</li><li><u>Cruise control</u>: desmopressin/DDAVP and 3% (hypertonic) saline (“<a href="https://www.uptodate.com/contents/osmotic-demyelination-syndrome-ods-and-overly-rapid-correction-of-hyponatremia?search=prevention%20of%20ods&source=search_result&selectedTitle=1~36&usage_type=default&display_rank=1#H2188016127">proactive strategy</a>”)</li><li><u>Press the brake</u>: desmopressin/DDAVP (or large amounts of D5W) (“<a href="https://www.uptodate.com/contents/osmotic-demyelination-syndrome-ods-and-overly-rapid-correction-of-hyponatremia?search=prevention%20of%20ods&source=search_result&selectedTitle=1~36&usage_type=default&display_rank=1#H3971230250">reactive strategy</a>”)</li><li><u>Reverse gear</u>: desmopressin/DDAVP and D5W (“<a href="https://www.uptodate.com/contents/osmotic-demyelination-syndrome-ods-and-overly-rapid-correction-of-hyponatremia?search=prevention%20of%20ods&source=search_result&selectedTitle=1~36&usage_type=default&display_rank=1#H2638908677">rescue strategy</a>”)</li></ol><div>Additional technical notes:</div><div><ol style="text-align: left;"><li>The “sodium speed limit” might change depending on the clinical situation.</li><li>The slope of the mountain represents rapid correction due to water diuresis that can occur in patients with a reversible cause of hyponatremia (hypovolemia, beer potomania/low solute hyponatremia, adrenal insufficiency, and other causes).</li><li>If a patient has SIADH, the mountain might slope <i>upward. (</i>This is a separate figure.)</li><li>If the patient has SIADH, giving 0.9% (normal) saline may not work or may cause the sodium to <i>go down</i> — when you press the accelerator, the car may be in “neutral” or even “reverse.” (See therapy #2.) </li><li>Usually, fluid restriction is also important. </li><li>In the right clinical circumstances, other therapies might include salt tablets, loop diuretics, urea, and vaptans. (These are not included in the model.) </li></ol><div><a href="https://www.kidney.nyc/site-disclaimer">(Of course, this is for educational purposes only and is not medical advice.)</a></div></div><p></p><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style>Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com1tag:blogger.com,1999:blog-11288840.post-50743238491348244872023-02-04T11:59:00.010-05:002023-02-23T15:51:40.609-05:00Calculators for EKFC eGFRcys, EKFC eGFRcr, and EKFC eGFRcr-cys <p>The most accurate race-free eGFR equation (EKFC eGFRcys) isn't yet available in EMRs or in a calculator app, so here's an <a href="https://www.icloud.com/shortcuts/6fa8e9bbcf78488694cf85350c1fd648" target="_blank">Apple shortcut</a> to use on the iPhone or Mac. Also, here’s a <a href="https://docs.google.com/spreadsheets/d/13up6cndWFe8CVlZ8sWc50TPYzBFsLdbSOlv1SseBSdo/edit?usp=sharing" target="_blank">calculator as a Google spreadsheet of the EKFC eGFRcys, EKFC eGFRcr, and EKFC eGFRcr-cys equations</a>. </p><p>Comments/corrections are welcome. Please message @joshuaschwimmer on Twitter.</p><p>Thanks to Dr. Hans Pottel for his guidance.</p><p>Reference:</p><p><a href="http://nejm.org/doi/full/10.1056/NEJMoa2203769">nejm.org/doi/full/10.1056/NEJMoa2203769</a></p><p>(Yes, this is important enough to post to KidneyNotes after a break of over 5 years. Hello!)</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://www.nejm.org/na101/home/literatum/publisher/mms/journals/content/nejm/2023/nejm_2023.388.issue-4/nejmoa2203769/20230123/images/img_xlarge/nejmoa2203769_f1.jpeg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="800" data-original-width="645" height="400" src="https://www.nejm.org/na101/home/literatum/publisher/mms/journals/content/nejm/2023/nejm_2023.388.issue-4/nejmoa2203769/20230123/images/img_xlarge/nejmoa2203769_f1.jpeg" width="323" /></a></div><br /><p><br /></p><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 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}</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; 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font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style><style>@font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Helvetica"); } @font-face { font-family: "Ariel"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Helvetica"); }@font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: normal; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: italic; font-weight: 1 1000; src: local("Courier"); } @font-face { font-family: "Courier New"; font-stretch: 50% 200%; font-style: oblique; font-weight: 1 1000; src: local("Courier"); }</style>Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-46381045903085425932017-04-05T09:57:00.001-04:002017-04-05T09:57:13.268-04:00“Security Advice” via xkcd.com<img src="http://68.media.tumblr.com/06f1a00577ef9417f633f8d9540c011f/tumblr_onxvb2UdNg1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1820/" target="_blank">"Security Advice" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/159227331048">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-2058024938573151562017-04-03T04:51:00.001-04:002017-04-03T04:51:25.398-04:00“Sweet 16” via xkcd.com<img src="http://68.media.tumblr.com/5b129e719e605f8984510c24c09256d1/tumblr_ontqvmBjrO1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1819/" target="_blank">"Sweet 16" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/159145371853">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-19557942466712626492017-03-31T09:55:00.001-04:002017-03-31T09:55:23.394-04:00“Rayleigh Scattering” via xkcd.com<img src="http://68.media.tumblr.com/738e832a45e53373b5aa302edcff2ac4/tumblr_onome5FVBs1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1818/" target="_blank">"Rayleigh Scattering" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/159037431263">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-26304501563853025412017-03-29T09:55:00.001-04:002017-03-29T09:55:13.043-04:00“Incognito Mode” via xkcd.com<img src="http://68.media.tumblr.com/6e2184bcaa035024f44baabd45659cd4/tumblr_onkwbwdQrS1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1817/" target="_blank">"Incognito Mode" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158964629961">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-51861333155711553832017-03-28T21:26:00.001-04:002017-03-28T21:26:23.219-04:00King of Wings Hoodoo under the Milky Way via NASA<img src="http://68.media.tumblr.com/37258f11ec04b649e96890112ace6476/tumblr_onjwv31UCC1qz50r6o1_500.jpg"><br><br><p><a href="https://apod.nasa.gov/apod/ap170328.html" target="_blank">King of Wings Hoodoo under the Milky Way via NASA</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158947588807">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-51695317540125426392017-03-27T10:56:00.001-04:002017-03-27T10:56:35.017-04:00“Mispronunciation” via xkcd.com<img src="http://68.media.tumblr.com/217d8637c7de729811aef3501bdafcda/tumblr_onhai3wtq91qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1816/" target="_blank">"Mispronunciation" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158891660043">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-12200846995501879302017-03-25T00:29:00.000-04:002017-03-25T00:30:04.679-04:00The Comet, the Owl, and the Galaxy via NASA<img src="http://68.media.tumblr.com/617c3e53aeada5cea00fb9b3750ed5f9/tumblr_oncs0sq2l61qz50r6o1_500.jpg"><br><br><p><a href="http://antwrp.gsfc.nasa.gov/apod/ap170324.html" target="_blank">The Comet, the Owl, and the Galaxy via NASA</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158801192571">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-6059866909747419932017-03-24T09:55:00.001-04:002017-03-24T09:55:25.361-04:00“Flag” via xkcd.com<img src="http://68.media.tumblr.com/47e4b6df5b5ac61bf1b05ee7798a56fc/tumblr_onbnoxhAnF1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1815/" target="_blank">"Flag" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158776507203">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-66476579911105654692017-03-22T09:31:00.001-04:002017-03-22T09:31:28.751-04:00“Color Pattern” via xkcd.com<img src="http://68.media.tumblr.com/fa42ccd4d541c3f9f0eb3090fa9f89ab/tumblr_on7x6ljZMV1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1814/" target="_blank">"Color Pattern" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158702336305">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-36361761733142534482017-03-20T11:26:00.001-04:002017-03-20T11:26:10.376-04:00“Vomiting Emoji” via xkcd.com<img src="http://68.media.tumblr.com/01e57adce7d5e39eaf1b8d22b735bb22/tumblr_on4c5uCy8H1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1813/" target="_blank">"Vomiting Emoji" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158629303954">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-72507071134327861882017-03-17T01:33:00.001-04:002017-03-17T01:33:25.054-04:00“Onboarding” via xkcd.com<img src="http://68.media.tumblr.com/26c894362ce5d32d17d63d2f28a63d1d/tumblr_omy1egfonC1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1812/" target="_blank">"Onboarding" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158501654722">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-24413946352064837112017-03-17T00:33:00.001-04:002017-03-17T00:33:17.514-04:00Mimas in Saturnlight via NASA<img src="http://68.media.tumblr.com/4d6ec53be66818d135d7fdf591703103/tumblr_omxyi1FGJR1qz50r6o1_500.jpg"><br><br><p><a href="http://antwrp.gsfc.nasa.gov/apod/ap170316.html" target="_blank">Mimas in Saturnlight via NASA</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158500054094">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-68913396719176386552017-03-15T11:48:00.001-04:002017-03-15T11:48:29.162-04:00“Best-Tasting Colors” via xkcd.com<img src="http://68.media.tumblr.com/9cbe2078fd9f678d27f49c798bb6eadd/tumblr_omv46dMc9Z1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1811/" target="_blank">"Best-Tasting Colors" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158438066955">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-31072630887499763082017-03-15T09:28:00.001-04:002017-03-15T09:28:44.507-04:00What’s New: SPRINT Data Analysis Challenge Winners Announced via...<img src="http://68.media.tumblr.com/faa4b7eb28fa894cce9af5829a5f0274/tumblr_omuy9gz2bs1qz50r6o1_250.png"><br><br><p><a href="http://blogs.nejm.org/now/index.php/whats-new-sprint-data-analysis-challenge/2017/03/15/" target="_blank">What's New: SPRINT Data Analysis Challenge Winners Announced via Now@NEJM</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158434176137">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-20587959944121639342017-03-13T15:27:00.001-04:002017-03-13T15:27:35.189-04:00“Chat Systems” via xkcd.com<img src="http://68.media.tumblr.com/7035c04678c64c13f4a10e98bd71f102/tumblr_omrkebdLXi1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1810/" target="_blank">"Chat Systems" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158359000353">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-42604925127328560142017-03-10T08:07:00.001-05:002017-03-10T08:07:27.297-05:00“xkcd Phone 5” via xkcd.com<img src="http://68.media.tumblr.com/59b67afefba49355aa73152c35334acc/tumblr_omlo2wdC531qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1809/" target="_blank">"xkcd Phone 5" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158228181777">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-84239218765625183362017-03-08T00:40:00.001-05:002017-03-08T00:40:33.062-05:00“Hacking” via xkcd.com<img src="http://68.media.tumblr.com/eb244a753438aff2eae9ff3945d7ed6e/tumblr_omhdicWQiK1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1808/" target="_blank">"Hacking" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158138862256">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-86225360189379704452017-03-07T10:25:00.001-05:002017-03-07T10:25:30.384-05:00New Clinical Problem-Solving: Histology Rings True via Now@NEJM<img src="http://68.media.tumblr.com/712d7abf15c9c1cb467d7ed3b9d27383/tumblr_omgaavI3yA1qz50r6o1_250.jpg"><br><br><p><a href="http://blogs.nejm.org/now/index.php/new-clinical-problem-solving-histology-rings-true/2017/03/07/" target="_blank">New Clinical Problem-Solving: Histology Rings True via Now@NEJM</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158111133487">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-48629874381806265252017-03-06T08:55:00.001-05:002017-03-06T08:55:27.351-05:00“Listening” via xkcd.com<img src="http://68.media.tumblr.com/b84bc4104a2ba11c6211ae333eedea72/tumblr_ome903wc0k1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1807/" target="_blank">"Listening" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/158065867811">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-13193164389683349702017-03-03T04:12:00.001-05:002017-03-03T04:12:18.716-05:00“Borrow Your Laptop” via xkcd.com<img src="http://68.media.tumblr.com/a46f566888b569e3c389423607c885be/tumblr_om88ingkeQ1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1806/" target="_blank">"Borrow Your Laptop" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/157934982080">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-31356686282437957212017-03-01T11:46:00.001-05:002017-03-01T11:46:44.321-05:00“Unpublished Discoveries” via xkcd.com<img src="http://68.media.tumblr.com/839ae35eb44065b3b018806d622174f7/tumblr_om5a0t0Jwh1qz50r6o1_500.png"><br><br><p><a href="https://xkcd.com/1805/" target="_blank">"Unpublished Discoveries" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/157866807750">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-54618607026840544522017-02-28T11:46:00.001-05:002017-02-28T11:46:36.212-05:00New Quick Take: Inhibiting Plasma Kallikrein for Hereditary...<img src="http://68.media.tumblr.com/616e841872b4e6042618a2c7d12d3736/tumblr_om3fk9XGyv1qz50r6o1_400.png"><br><br><p><a href="http://blogs.nejm.org/now/index.php/new-quick-take-inhibiting-plasma-kallikrein-hereditary-angioedema-prophylaxis/2017/02/28/" target="_blank">New Quick Take: Inhibiting Plasma Kallikrein for Hereditary Angioedema Prophylaxis via Now@NEJM</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/157825882063">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0tag:blogger.com,1999:blog-11288840.post-52733027980144050272017-02-27T12:16:00.001-05:002017-02-27T12:16:10.209-05:00“Video Content” via xkcd.com<img src="http://68.media.tumblr.com/a8131ad69b56cdcb274e50b6fb21a969/tumblr_om1ll2dx2h1qz50r6o1_400.png"><br><br><p><a href="https://xkcd.com/1804/" target="_blank">"Video Content" via xkcd.com</a></p> <br><br><i>Posted on <a href="http://infosnack.net/post/157784734374">infosnack</a>.</i> Testhttp://www.blogger.com/profile/17979185526814569632noreply@blogger.com0