Hospital Medicine

  • Delirium in hospitalized patients: Risks and benefits of antipsychotics
    Robyn Pauline Thom, MD, Clare Kelleher Mock, MD and Polina Teslyar, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 616-622; DOI: https://doi.org/10.3949/ccjm.84a.16077

    No drug is approved for delirium, but antipsychotics can be used in certain situations.

  • Necrotizing pancreatitis: Diagnose, treat, consult
    Tiffany Y. Chua, MD, R. Matthew Walsh, MD, FACS, Mark E. Baker, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 639-648; DOI: https://doi.org/10.3949/ccjm.84a.16052

    Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.

  • Postexposure management of infectious diseases
    Mazen S. Bader, MD, MPH, Annie Brooks, BScPhm, PharmD, Deborah V. Kelly, PharmD, FCSHP, AAHIVP and Jocelyn A. Srigley, MD, MSc
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 65-80; DOI: https://doi.org/10.3949/ccjm.84a.15049

    People who have been exposed to an infectious disease should be evaluated promptly and systematically.

  • Watson, the game is a foot… or a palm
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 655-656; DOI: https://doi.org/10.3949/ccjm.84b.09017

    Sherlock Holmes I am not, but some useful clues are readily apparent if one is prepared to recognize them.

  • Measuring both serum amylase and lipase for acute pancreatitis lowers quality and raises cost
    Abdulhadi Akhtar, MD, Ravindra Sarode, MD and Deepak Agrawal, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 670-672; DOI: https://doi.org/10.3949/ccjm.84a.16103

    Measuring lipase alone is sufficient.

  • Postoperative delirium in a 64-year-old woman
    Matthew Imm, MD, Luis F. Torres, MD and Mohan Kottapally, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 690-698; DOI: https://doi.org/10.3949/ccjm.84a.16102

    Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?

  • Bedside manners: How to deal with delirium
    Rudi G.J. Westendorp, MD, PhD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 699-700; DOI: https://doi.org/10.3949/ccjm.84a.17066

    Delirium is often overlooked. Clinical observation remains important.

  • Another complication of cirrhosis
    Houriya Ayoubieh, MD and Eyas Alkhalili, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 701-706; DOI: https://doi.org/10.3949/ccjm.84a.16084

    A patient with cirrhosis presents with acute abdominal pain and shock.

  • Evidence helps, but some decisions remain within the art of medicine
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 88-90; DOI: https://doi.org/10.3949/ccjm.84b.02017

    In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.

  • Submassive pulmonary embolism (December 2016)
    Anup Katyal, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 94; DOI: https://doi.org/10.3949/ccjm.84c.02003

    Readers comment on submassive pulmonary embolism (December 2016).

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