Hospital Medicine
- Does my hospitalized patient need an NPO-after-midnight order preoperatively?
The following article in the February 2022 issue contained an error: Chapman T, Sinz E, McGillen B. Does my hospitalized patient need an NPO-after-midnight order preoperatively? Cleve Clin J Med 2022; 89(2):69–70. doi:10.3949/ccjm.89a.21061
- Does my hospitalized patient need an NPO-after-midnight order preoperatively?
Delays and postponements of surgical procedures are common, and NPO-after-midnight orders in these situations can result in prolonged periods without oral intake.
- Recurrent anemia in a patient with chronic lymphocytic leukemia
New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.
- Sometimes the look is worth the walk
We do not routinely look at blood smears today. The need for expediency and efficiency limit the time spent on activities with a low yield for influencing care. And yet, for some conditions in some patients, going back to the basics can be clinically rewarding, and even memorable.
- Cardiac considerations in liver transplantation
Today’s transplant patients are older and more likely to have cardiac comorbidities, and effects of advanced liver disease on the circulatory system pose challenges in perioperative management.
- Megaloblastic anemia due to severe vitamin B12 deficiency
The 75-year-old patient presenting with altered mental status and pancytopenia had a history of peptic ulcer disease and subtotal gastrectomy.
- Fungus among us: A poster child for diagnostic stewardship
When interpreting the significance of Aspergillus species in respiratory culture, first ask if the culture was clinically indicated, or if this was an incidental finding.
- Is Aspergillus isolated from respiratory cultures clinically significant?
Aspergillus is ubiquitous, so the significance of the finding depends on the patient’s symptoms, underlying lung condition, immune status, and radiologic fi ndings.
- Coronary microvascular dysfunction: Considerations for diagnosis and treatment
A review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.
- Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit
Three hypothetical cases elucidate medical, ethical, and legal considerations in common end-of-life situations encountered in the ICU.