Hospital Medicine
- Evidence helps, but some decisions remain within the art of medicine
In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.
- Submassive pulmonary embolism (December 2016)
Readers comment on submassive pulmonary embolism (December 2016).
- What stool testing is appropriate when diarrhea develops in a hospitalized patient?
Most cases are not due to infection, but Clostridium difficile is the most common infectious cause.
- Benefits and challenges of caring for international patients
Improving the quality of care and the clinical experience for both providers and patients.
- Seeking medical care abroad: A challenge to empathy
Empathy for international patients is not merely a matter of kindness, it is central to healing.
- Update in perioperative cardiac medicine
Risk assessment, risk reduction, antiplatelet therapy after stent placement, and bridging anticoagulation.
- The ABCs of managing systolic heart failure: Past, present, and future
Digitalis, diuretics, and bedrest have given way to neurohormonal blockade and physical rehabilitation.
- Evolution of heart failure management: Miles to go
Despite progress, too many patients still suffer, too many die too young, and the costs are still too great.
- Are we causing anemia by ordering unnecessary blood tests?
Iatrogenic anemia from blood draws is common, serious, and unnecessary.