Hospital Medicine

  • Navigating the anticoagulant landscape in 2017
    James D. Douketis, MD, FRCP(C), FACP, FCCP
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 768-778; DOI: https://doi.org/10.3949/ccjm.84gr.17005

    What is the best strategy in acute venous thromboembolism? How should anticoagulation be managed before surgery?

  • Ring-enhancing cerebral lesions
    Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037

    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?
    Aibek E. Mirrakhimov, MD, Adam Gray, MD and Taha Ayach, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 111-113; DOI: https://doi.org/10.3949/ccjm.84a.16028

    Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.

  • Acid-base disturbances January 2017
    Michael Emmett, MD, MACP
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 181; DOI: https://doi.org/10.3949/ccjm.84c.03003

    Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).

  • In Reply: Acid-base disturbances January 2017
    Gregory W. Rutecki, MD and Shylaja Mani, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 181; DOI: https://doi.org/10.3949/ccjm.84c.03004

    Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).

  • Altered mental status and an acid-base disturbance January 2017
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 214;

    Errors occurred in: Mani S, Rutecki GW. A patient with altered mental status and an acid-base disturbance. Cleve Clin J Med 2017; 84:27–34.

  • Blending classic clinical skills with new technology
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 266-267; DOI: https://doi.org/10.3949/ccjm.84b.04017

    Back “in the day,” the giants of medicine relied on old-fashioned skills; today, we have an upgraded set of tools.

  • A patient with altered mental status and an acid-base disturbance
    Shylaja Mani, MD and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 27-34; DOI: https://doi.org/10.3949/ccjm.84a.16042

    Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.

  • Cardiogenic shock: From ECMO to Impella and beyond
    Cardiogenic shock: From ECMO to Impella and beyond
    Mehdi H. Shishehbor, DO, MPH, PhD, Nader Moazami, MD, Michael Z.-Y. Tong, MD, MBP, Shinya Unai, MD, W. H. Wilson Tang, MD and Edward G. Soltesz, Md, MPH
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 287-295; DOI: https://doi.org/10.3949/ccjm.84gr.17002

    Several devices can serve as a bridge to recovery, transplant, or a long-term device.

  • Parsimonious blood use and lower transfusion triggers: What is the evidence?
    Moises Auron, MD, FAAP, FACP, SFHM, Marina Y. Duran Castillo, MD, FACP and Ajay Kumar, MD, MRCP, FACP, SFHM
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 43-51; DOI: https://doi.org/10.3949/ccjm.84a.15134

    Cumulative data have confi rmed the safety of a conservative approach to transfusion.

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