Hospital Medicine

  • Sepsis and septic shock: Guideline-based management
    Siddharth Dugar, MD, Chirag Choudhary, MD, MBA and Abhijit Duggal, MD, MPH, MSc, FACP
    Cleveland Clinic Journal of Medicine January 2020, 87 (1) 53-64; DOI: https://doi.org/10.3949/ccjm.87a.18143

    Sepsis requires prompt recognition, appropriate antibiotics, careful hemodynamic support, and control of the source of infection.

  • Atraumatic splenic rupture in acute myeloid leukemia
    Karthik Gnanapandithan, MD, MS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 715-716; DOI: https://doi.org/10.3949/ccjm.86a.19042

    Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.

  • Low-dose steroids for acute exacerbations of COPD in a non-ICU setting: Worth consideration
    Asim Kichloo, MD, Michael M. Aljadah and Hassan H. Beiz, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 717-718; DOI: https://doi.org/10.3949/ccjm.86a.19027

    Despite the guidelines, most patients still receive high intravenous doses for acute exacerbations.

  • Severe hypercalcemia in a 54-year-old woman
    Michael A. Munoz, MD, Zeeshan Zafar, MD, MBA and Benson A. Babu, MD, MBA
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 719-723; DOI: https://doi.org/10.3949/ccjm.86a.18126

    Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?

  • A complication of enoxaparin injection
    Ahmad Muneer Sharayah, MD, Samrah Zaigham, MD, Noor Hajjaj, MD and Mihir Maniar, DO
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 648-649; DOI: https://doi.org/10.3949/ccjm.86a.19026

    Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.

  • 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.

  • A 66-year-old man with abnormal thyroid function tests
    Yazan N. Alhalaseh, MD, Zaid A. Abdulelah, MD, Ahmad O. Armouti, MD and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 666-675; DOI: https://doi.org/10.3949/ccjm.86a.19024

    A 66-year-old man presents with an acute exacerbation of COPD requiring hospitalization.

  • 2019 Update in perioperative cardiovascular medicine
    Steven L. Cohn, MD, MACP, SFHM, Paul J. Grant, MD, SFHM, FACP and Barbara Slawski, MD, MS, SFHM
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 677-683; DOI: https://doi.org/10.3949/ccjm.86a.19077

    Studies of preoperative cardiac risk assessment, perioperative medication management, and postoperative complications.

  • Pseudo-Ludwig angina
    Andrew Tiu, MD and Kamolyut Lapumnuaypol, MD
    Cleveland Clinic Journal of Medicine September 2019, 86 (9) 577-578; DOI: https://doi.org/10.3949/ccjm.86a.19014

    A woman on heparin developed a hematoma on the floor of her mouth that threatened to block her airway.

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