Hospital Medicine
- Perioperative interruption of dual antiplatelet therapy (November 2017)
Readers comment on perioperative interruption of dual antiplatelet therapy (November 2017).
- A 71-year-old woman with shock and a high INR
She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.
- Acute cardiorenal syndrome: Mechanisms and clinical implications
Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.
- Hemodynamically, the kidney is at the heart of cardiorenal syndrome
In heart failure, the heart and the kidneys share a rocky relationship.
- Do cardiac risk stratification indexes accurately estimate perioperative risk in noncardiac surgery patients?
Neither of the 2 indexes most often used is completely accurate, and neither is better than the other.
- 2017 Update in perioperative medicine: 6 questions answered
Topics: cardiac risk assessment, surgery after percutaneous intervention, statins, sleep apnea, bridging anticoagulation, and frailty.
- Navigating the anticoagulant landscape in 2017
What is the best strategy in acute venous thromboembolism? How should anticoagulation be managed before surgery?
- Ring-enhancing cerebral lesions
The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?
- When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.