Hospital Medicine
- Rapidly progressive pleural effusion
A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.
- Do all hospital inpatients need cardiac telemetry?
Routine cardiac telemetry raises costs and does little.
- Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
A review of study results from the last 2 years.
- Which patients with pulmonary embolism need echocardiography?
The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.
- How acute pain leads to chronic opioid use
Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.
- Pulmonary infarction due to pulmonary embolism
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
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
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
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
- Calcific uremic arteriolopathy
A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.