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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Hospital Medicine

  • You have access
    In reply: Rapidly progressive pleural effusion January 2019
    Zaid Zoumot, MBSS, Samar Farha, MD and Ali Wahla, MBSS
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 236; DOI: https://doi.org/10.3949/ccjm.86c.04002
  • You have access
    Acute kidney injury after hip or knee replacement: Can we lower the risk?
    Edward J. Filippone, MD, FASN and Anju Yadav, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 263-276; DOI: https://doi.org/10.3949/ccjm.86a.18044

    Various risk factors have been identified, and some are potentially modifiable.

  • You have access
    Norwegian scabies
    Hiroki Matsuura, MD, Akemi Senoo, MD, PhD, Mari Saito, MD and Yuko Fujimoto, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 163-164; DOI: https://doi.org/10.3949/ccjm.86a.18081

    Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.

  • You have access
    Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

  • You have access
    Dancing sternal wires: A radiologic sign of sternal dehiscence
    Mohamed M. Gad, MD and Amit Gupta, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 87-88; DOI: https://doi.org/10.3949/ccjm.86a.18091

    Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.

  • You have access
    Repeating blood cultures after initial bacteremia: When and how often?
    Ammara Mushtaq, MD, Bryce X. Bredell, MS and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 89-92; DOI: https://doi.org/10.3949/ccjm.86a.18001

    Repeating blood cultures after an initial positive result is superfluous except in certain situations.

  • You have access
    Follow-up blood cultures are often needed after bacteremia
    Marisa Tungsiripat, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 93-94; DOI: https://doi.org/10.3949/ccjm.86a.18114

    Without follow-up cultures, the adequacy of treatment can be difficult to assess.

  • You have access
    Managing malignant pleural effusion
    Ali Saeed Wahla, MBBS, Mateen Uzbeck, MBBS, Yaser Abu El Sameed, MBBS and Zaid Zoumot, MBBS, MRCP, MSC, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 95-99; DOI: https://doi.org/10.3949/ccjm.86a.17095

    Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

  • You have access
    Rapidly progressive pleural effusion
    Zaid Zoumot, MBBS, Ali S. Wahla, MBBS and Samar Farha, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 21-27; DOI: https://doi.org/10.3949/ccjm.86a.18067

    A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.

  • You have access
    Do all hospital inpatients need cardiac telemetry?
    Motaz Baibars, MD, Yasser Al-Khadra, MD, Zaher Fanari, MD, Homam Moussa Pacha, MD, Mohamad Soud, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 925-927; DOI: https://doi.org/10.3949/ccjm.85a.17114

    Routine cardiac telemetry raises costs and does little.

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