Hospital Medicine

  • 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.

  • Deciding when a picture is worth a thousand words and several thousand dollars
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 509-510; DOI: https://doi.org/10.3949/ccjm.86b.08019

    Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.

  • 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.

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • If a picture is worth a thousand words, a patient is worth ten thousand
    Paul Aronowitz, MD, MACP
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 443-444; DOI: https://doi.org/10.3949/ccjm.86a.19070

    Images portray real patients with stories to tell, sometimes mundane, sometimes profound, but always worth hearing.

  • 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.

  • A 69-year-old woman with double vision and lower-extremity weakness
    Ibrahim Migdady, MD, Maryann Mays, MD and Kerry H. Levin, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 374-379; DOI: https://doi.org/10.3949/ccjm.86a.18113

    The onset was sudden, and the symptoms were gradually getting worse.

  • Anti-Xa assays: What is their role today in antithrombotic therapy?
    Erika Hutt Centeno, MD, Michael Militello, PharmD, RPH, BCPS and Marcelo P. Gomes, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 417-425; DOI: https://doi.org/10.3949/ccjm.86a.18029

    Should clinicians abandon the aPTT for monitoring heparin therapy in favor of anti-Xa assays?

  • Infection or not infection, that is the question—Is procalcitonin the answer?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 297-298; DOI: https://doi.org/10.3949/ccjm.86b.05019

    What is different about procalcitonin that allows it to succeed as a biomarker where CRP and the ESR have failed?

  • Rapidly progressive pleural effusion January 2019
    Scott Davidson, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04001

    Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).

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