Hospital Medicine
- When does S aureus bacteremia require transesophageal echocardiography?
TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.
- S aureus bacteremia: TEE and infectious disease consultation
Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.
- What should I address at follow-up of patients who survive critical illness?
Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.
- Critical care medicine: An ongoing journey
Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.
- Cardiac rehabilitation: A class 1 recommendation
Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.
- Renal disease and the surgical patient: Minimizing the impact
Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.
- Training physician leaders to save the health system… and us
The success of the health system and the emotional well-being and clinical skills of its physicians are clearly interrelated.
- Reverse T3 or perverse T3? Still puzzling after 40 years
Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.