More articles from 1-Minute Consult

  • Can I use direct oral anticoagulants to treat cancer-associated venous thromboembolism?
    Oluwadunni Emiloju, MD, Sorab Gupta, MD and Claudia Dourado, MD
    Cleveland Clinic Journal of Medicine April 2020, 87 (4) 201-203; DOI: https://doi.org/10.3949/ccjm.87a.19100

    DOACs are increasingly replacing low-molecular-weight heparins for this purpose.

  • Should I evaluate my patient with atrial fibrillation for sleep apnea?
    Mirna B. Ayache, MD, MPH, Reena Mehra, MD, MS, FCCP, FAASM and Kenneth A. Mayuga, MD, FACC, FHRS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 709-712; DOI: https://doi.org/10.3949/ccjm.86a.19033

    Yes. The prevalence of sleep apnea is high in patients with atrial fibrillation, and vice versa.

  • What are the risks to inpatients during hospital construction or renovation?
    Amjad Kanj, MD, Yuqing Gao, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 650-652; DOI: https://doi.org/10.3949/ccjm.86a.19008

    Risks include mold infection, Legionnaires disease, sleep deprivation, exacerbation of lung disease, and physical injury.

  • Does my patient need maintenance fluids?
    Jorge Sanchez, MD and Robert Lichtenberg, MD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 653-655; DOI: https://doi.org/10.3949/ccjm.86a.19018

    The question seems like it should have an easy answer. However, there is no consensus.

  • Are daily chest radiographs and arterial blood gas tests required in ICU patients on mechanical ventilation?
    Shyam Ganti, MD, Ravinder D. Bhanot, MD, Jasleen Kaur, MD, Cassondra Cramer-Bour, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 582-585; DOI: https://doi.org/10.3949/ccjm.86a.18141

    Although routine testing is common, it has low diagnostic yield and is unlikely to alter patient management.

  • Should we stop aspirin before noncardiac surgery?
    Anbazhagan Prabhakaran, MD, MRCP (Edin), FACP and Christopher Whinney, MD, SFHM, FACP
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 518-521; DOI: https://doi.org/10.3949/ccjm.86a.18075

    It depends on the type of surgery and the reason the patient is taking aspirin.

  • Do patients on biologic drugs for rheumatic disease need PCP prophylaxis?
    Joy-Ann Tabanor, MBBS and Santhanam Lakshminarayanan, MBBS
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 449-453; DOI: https://doi.org/10.3949/ccjm.86a.18084

    Consider it in those with granulomatosis with polyangiitis or pulmonary disease, or those on high-dose steroids.

  • Is chest radiography routinely needed after thoracentesis?
    Aibek E. Mirrakhimov, MD, Aram Barbaryan, MD, Taha Ayach, MD, Fabrizio Canepa Escaro, MD, Goutham Talari, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 371-373; DOI: https://doi.org/10.3949/ccjm.86a.17058

    No, it should be done only in certain situations, for example, if pneumothorax is suspected.

  • Can procalcitonin guide decisions about antibiotic management?
    Robert J. Fakheri, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 307-311; DOI: https://doi.org/10.3949/ccjm.86a.18074

    Yes, but clinical judgment must still be exercised.

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

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