Hospital Medicine

  • Update in perioperative cardiac medicine 2021
    Steven L. Cohn, MD, MACP, SFHM
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 216-220; DOI: https://doi.org/10.3949/ccjm.88a.21014

    New light on preoperative assessment and on the need for anticoagulation.

  • Update on medical management of acute hip fracture
    CME article
    Lily Ackermann, MD, ScM, Eric S. Schwenk, MD, Yair Lev, MD and Howard Weitz, MD
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 237-247; DOI: https://doi.org/10.3949/ccjm.88a.20149

    Emphasis is on prompt surgery, multimodal analgesia, and enhanced recovery pathways.

  • Median arcuate ligament syndrome: Incidental finding or real problem?
    Bayarmaa Mandzhieva, MD, Hammad Zafar, MD, Akriti Jain, MD and Manoucher Manoucheri, MD, FACP
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 140-142; DOI: https://doi.org/10.3949/ccjm.88a.20052

    A woman was admitted with pain in the epigastrium and right upper quadrant that radiated to the back, as well as nausea and dry heaves.

  • Median arcuate ligament syndrome: A clinical dilemma
    John H. Rodriguez, MD, FACS
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 143-144; DOI: https://doi.org/10.3949/ccjm.88a.21001

    Patients with chronic abdominal pain can benefit from a multidisciplinary evaluation.

  • Imaging to evaluate suspected infective endocarditis
    Imaging to evaluate suspected infective endocarditis
    CME article
    Ikram-Ul Haq, MD, Iqraa Haq, BS, Brian Griffin, MD and Bo Xu, MD, FACC, FRACP, FASE
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 163-172; DOI: https://doi.org/10.3949/ccjm.88a.19142

    What if echocardiographic findings are initially negative and the patient continues to have bacteremia?

  • COVID-19 diagnostic testing and the psychology of precautions fatigue
    Gregory W. Ruhnke, MD, MS, MPH
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 19-21; DOI: https://doi.org/10.3949/ccjm.88a.20086

    Overuse of special precautions can lead to diminished vigilance.

  • Perioperative management of pregnant women undergoing nonobstetric surgery
    CME article
    Moises Auron, MD, FAAP, FACP, SFHM, Marina Y. Duran Castillo, MD, FACP and Omar Felipe Duenas Garcia, MD, MPH, FACOG
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 27-34; DOI: https://doi.org/10.3949/ccjm.88a.18111

    If surgery during pregnancy is unavoidable, special management considerations apply.

  • Cleveland Clinic—A century of progress
    John D. Clough, MD
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 9-10; DOI: https://doi.org/10.3949/ccjm.88a.20185

    No one in their right mind would want to return to the “good old days.”

  • COVID-19 coagulopathy
    Anup Katyal, MD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 712; DOI: https://doi.org/10.3949/ccjm.87c.12001

    Skepticism of high-intensity prophylaxis for patients with D-dimer ≥ 3.0 µg/mL.

  • In Reply: COVID-19 coagulopathy
    Simon R. Mucha, MD, Siddharth Dugar, MD, Keith McCrae, MD, Douglas Joseph, DO, John Bartholomew, MD, Gretchen L. Sacha, PharmD, RPh, BCCCP and Michael Militello, PharmD, RPh, BCPS
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 712; DOI: https://doi.org/10.3949/cjm.87c.12002

    An attempt to balance the potential risks and benefits of intensified prophylaxis.

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