Showing posts with label hospital medicine. Show all posts
Showing posts with label hospital medicine. Show all posts
Sunday, May 12, 2024

The patient with cirrhosis: poised to bleed or poised to clot?

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It turns out to be a little of both. A number of reviews have addressed this. [ 1 ] [ 2 ] [ 3 ]  Here are some of the key points: The old...
Saturday, January 20, 2024

Special circumstances where warfarin is favored over DOACs

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  When is warfarin favored over DOACs?  Valvular atrial fibrillation .  This term is becoming obsolete. For anticoagulation for stroke preve...
Friday, July 08, 2022

Myths and facts in antibiotic stewardship

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The current issue of the American Journal of Medicine (the Green Journal) has an article titled Top Myths of Diagnosis andManagement of Infe...
Wednesday, June 15, 2022

Diagnostic time out

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What is a diagnostic time out? Succinctly defined, it’s a deliberate exercise in differential diagnosis and systematic clinical reasoning in...
Wednesday, May 04, 2022

Stepford doctors

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Ever since variation was declared to be an enemy of medicine there has been a multifaceted unrelenting effort to constrain the autonomy of c...
Monday, May 02, 2022

Are internal medicine’s core values effectively applied in today’s hospitalist practice?

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Hospital medicine has changed. The change has been brought by business and regulatory pressures rather than the core values of internal med...
Wednesday, August 11, 2021

Update on management of the acute abdomen in critically ill patients

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  From a recent review in Current Opinion in Critical Care Medicine : Purpose of review The aim of this study was t...

The fight to curb antimicrobial resistance: how are we doing?

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  From a recent NEJM review on this topic : In November 2019, the CDC released an updated version of its antibiotic-resista...
Thursday, June 03, 2021

Procalcitonin guided antibiotic treatment is beneficial in a variety of infections

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From a recent report in the American Journal of Respiratory and Critical Care Medicine : Rationale: Although early antimicrobial discont...
Friday, April 16, 2021

Widespread misunderstanding of hypoxemia, hypoxia and pulse oximetry

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  A recent article in the American Journal of Respiratory and Critical Care Medicine about hypoxemia and covid-19 concludes wi...
Wednesday, August 12, 2020

Elevated BP in hospitalized patients: what to do?

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From a recently published review : Elevated blood pressure is common in patients who are hospitalized. There are no guidelines and few r...
Monday, October 21, 2019

What are the risks for bad outcomes in patients admitted with influenza?

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From a recent study : Highlights A history of OSAS/CSAS, myocardial infarction and BMI greater...
Friday, October 18, 2019

ICU or stepdown for your DKA patient?

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From a recent study : Highlights In some centers, all Diabetic Ketoacidosis (DKA) patients are...

Delirium in hospitalized patients predicts readmission and other forms of increased post hospital utilization

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Report here . This is not surprising, since delirium in the hospital is often a sign of frailty.
Saturday, August 03, 2019

Which patients post cardiac arrest need to go straight to the cath lab?

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From a recent AHA scientific statement : CAD is a common substrate, and its severity is a potential trigger for OHCA...
Thursday, August 01, 2019

Rates of cardiac testing prior to hip fracture surgery

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From a recent report : Hip fracture is a common reason for urgent inpatient surgery. In the past few years, several ...
Monday, May 06, 2019

Management of acute kidney injury

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From a review in the Journal of Hospital Medicine: Acute kidney injury (AKI) is a common complication in hospitaliz...
Tuesday, April 23, 2019

Should you get immunoglobulin levels on patients admitted with community acquired pneumonia?

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From a recent study : BACKGROUND: Immunodeficiency is an underrecognized risk factor for infections, such as communi...