Treatment of Oncological Emergencies
Publication date: Available online 28 December 2016 Source:Hospital Medicine Clinics Author(s): Manisha J. Patel, Brendan J. ConnellTeaser Because of the advances in cancer treatment and improvement in overall survival, a growing number of complications caused by malignancy and its treatment are now seen by hospitalists in the inpatient setting as well as primary care physicians in the outpatient setting. The ability to promptly diagnose oncological emergencies and successfully treat these emergencies is increasingly important and can be lifesaving. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - December 28, 2016 Category: Internal Medicine Source Type: research
Update in the Management of Cerebrovascular Accidents
Publication date: Available online 24 December 2016 Source:Hospital Medicine Clinics Author(s): Andreas Varkaris, Anastasia Katsiampoura, Tim Kelliher, Chi-Cheng HuangTeaser Ischemic stroke is an acute neurologic deficit that results from focal cerebral ischemia leading to permanent tissue damage (infarction). The cause is commonly associated with atherothrombotic occlusion of large arteries; cerebral embolism (embolic infarction); nonthrombotic occlusion of small, deep cerebral arteries (lacunar infarction); and proximal arterial stenosis with hypotension that decreases cerebral blood flow in arterial watershed zone...
Source: Hospital Medicine Clinics - December 23, 2016 Category: Internal Medicine Source Type: research
Top Ten Articles in Hospital Medicine 2016
This article reviews 10 key publications and summarizes the most clinically important evidence published during the first 8 months of 2016. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - December 19, 2016 Category: Internal Medicine Source Type: research
Controversies in Perioperative Medicine
This article presents clinical questions in the context of lacking or conflicting data, which may be insufficient to guide decisions with certainty. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - December 11, 2016 Category: Internal Medicine Source Type: research
Value in Hospital Medicine
This article discusses the current state of value in the United States health care system, and the unsustainable growth trend of health care spending. Also discussed is the role of waste and its subcategories as the drivers of that cost. The key differences in the cost drivers for governmental and commercial payers are discussed. The patient-level outcomes of low-value care are addressed. In addition, hospitalists are provided with an overview of the tools that exist to help improve the value of their current practices as well as for teaching value and leading value-based projects. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Bedside Ultrasonography Applications for Hospitalists
This article reviews point-of-care ultrasonography and its applications in hospital medicine. The ways in which point-of-care ultrasonography can be used to inform diagnosis and management of common acute care problems are discussed, and images that show key findings are included. The literature specific to point-of-care ultrasonography use by hospitalists is reviewed. The role for ultrasonography guidance in common bedside procedures is described. In addition, next steps for point-of-care ultrasonography in hospitalist medicine are explored. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Intracerebral Hemorrhage
This article is for the generalist and describes ICH pathophysiology, epidemiology, management, imaging, diagnostics, and medical and surgical interventions. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Opioid Use Disorder in the Hospitalized Patient
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Matthew V. Ronan, Jesse Theisen-ToupalTeaser Opioid misuse and opioid use disorder are common in hospitalized patients. They often manifest with the development of opioid withdrawal. It is important that hospitalists properly evaluate for and adequately manage opioid withdrawal in these patients. In addition, hospitalizations serve as important opportunities to engage individuals into the treatment of their addiction. Hospitalists should take advantage of these opportunities to provide linkage-of-care with addiction specialist...
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Acute Urinary Retention
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Evan GwynTeaser Although not extremely common, acute urinary retention is a condition seen on the wards that hospitalists often do not feel fully prepared to address. This review provides guidance to hospitalists in evaluating and managing acute urinary retention. The prevalence of acute urinary retention, as well as its common causes and risk factors, are also discussed. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Immune Thrombocytopenia
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Iris Ma, Alexander T. SandhuTeaser Immune thrombocytopenia (ITP) is a disease caused by autoimmune platelet destruction that can occur as a primary or secondary process. ITP is a diagnosis of exclusion with no confirmatory diagnostic test. Diagnostic bone marrow biopsy should be pursued in select cases: abnormalities on peripheral smear, abnormal white blood cell count or hemoglobin, or treatment-refractory ITP. Treatment for ITP should be initiated in patients with less than 30,000 platelets per microliter or significant blee...
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Dysphagia in the Hospitalized Patient
This article outlines a classic diagnostic approach to the undiagnosed complaint and therapeutic strategies for chronic management, including during terminal phases. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Norovirus and Infection Control
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Payal K. Patel, Roger Araujo-CastilloTeaser Norovirus is a frequent cause of acute gastroenteritis and is usually spread through the fecal-oral route. Most patients will recover with supportive care but in immunocompromised patients, norovirus can be debilitating. Since norovirus has a low infective dose, a sturdy viral structure, and can spread easily within a ward or unit, infection control guidelines should be followed closely when a patient is admitted with norovirus. (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Aspiration Pneumonia and Pneumonitis
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Amber MooreTeaser Aspiration events are common causes of hospitalization and can lead to aspiration pneumonia and pneumonitis; both have similar presentations and are distinguished from each other primarily based on the timing of symptom development. Correct diagnosis is important, as antibiotics should be used only in patients with development of pneumonia after an aspiration event or in patients who are at increased risk of bacterial infection due to altered stomach pH or gastrointestinal dysmotility. Enteral feeding does not...
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Cardiovascular Implantable Electronic Devices
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Jessica Logan, Ali BoushahriTeaser A cardiovascular implantable electronic device (CIED) is any device implanted with the purpose of monitoring and/or managing the electrical activity of the heart. Pacemakers are used mostly as therapy for bradyarrhythmias, whereas a special type of pacing, cardiac resynchronization therapy, is used in heart failure. Implantable cardioverter defibrillators monitor the electrical activity of the heart and deliver therapies to treat ventricular tachycardia or ventricular fibrillation. Recently, ...
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
Shades of Gray
Publication date: January 2017 Source:Hospital Medicine Clinics, Volume 6, Issue 1 Author(s): Jesse Theisen-Toupal (Source: Hospital Medicine Clinics)
Source: Hospital Medicine Clinics - November 24, 2016 Category: Internal Medicine Source Type: research
