Hospital Medicine

  • How acute pain leads to chronic opioid use
    Charles Reznikoff, MD, FACP
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 837-841; DOI: https://doi.org/10.3949/ccjm.85a.18038

    Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.

  • Pulmonary infarction due to pulmonary embolism
    Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852; DOI: https://doi.org/10.3949/ccjm.85a.17132

    A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.

  • Perioperative cardiovascular medicine: 5 questions for 2018
    Kunjam Modha, MD, FACP, Kay M. Johnson, MD, MPH, Ethan Kuperman, MD, FHM, Paul J. Grant, MD, SFHM, FACP, Barbara Slawski, MD, MS, SFHM, Kurt Pfeifer, MD, FACP, SFHM and Steven L. Cohn, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 853-859; DOI: https://doi.org/10.3949/ccjm.85a.18066

    Findings of recent studies regarding aspirin, troponin T, hypotension, patent foramen ovale, and recurrent stroke.

  • Shortness of breath, fever, cough, and more in an elderly woman
    Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692; DOI: https://doi.org/10.3949/ccjm.85a.18030

    The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • The bias of word choice and the interpretation of laboratory tests
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 577-578; DOI: https://doi.org/10.3949/ccjm.85b.08018

    Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.

  • Calcific uremic arteriolopathy
    Mrinali Shetty, MD, Yuvraj Chowdhury, MD and Balaji Yegneswaran, MD, FACP
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 584-585; DOI: https://doi.org/10.3949/ccjm.85a.18009

    A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.

  • Which patients with a parapneumonic effusion need a chest tube?
    Scott A. Helgeson, MD, Brett T. Hiroto, MD, Scott J. Billings, MD, Courtney L. Scott, DO and Michele D. Lewis, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 609-611; DOI: https://doi.org/10.3949/ccjm.85a.17036

    Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.

  • What inpatient treatments do we have for acute intractable migraine?
    Ashhar S. Ali, DO and Mark Stillman, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 514-516; DOI: https://doi.org/10.3949/ccjm.85a.17049

    Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.

  • When does S aureus bacteremia require transesophageal echocardiography?
    Aibek E. Mirrakhimov, MD, Michael E. Jesinger, MD, Taha Ayach, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 517-520; DOI: https://doi.org/10.3949/ccjm.85a.16095

    TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.

  • S aureus bacteremia: TEE and infectious disease consultation
    Susan J. Rehm, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 521-522; DOI: https://doi.org/10.3949/ccjm.85a.18061

    Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.

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