Hospital Medicine

  • When should I give corticosteroids to my patient with Pneumocystis pneumonia?
    Simran Gupta, MD and Lisa M. Bebell, MD, MSc, FIDSA
    Cleveland Clinic Journal of Medicine April 2024, 91 (4) 217-219; DOI: https://doi.org/10.3949/ccjm.91a.23082

    Patients with HIV infection who are hypoxemic should receive corticosteroids. Evidence for patients without HIV infection is limited.

  • Severe hyponatremia: Are you monitoring the urine output?
    Elias Bassil, MD, Georges N. Nakhoul, MD, MEd, Jonathan J. Taliercio, DO, FASN and Ali Mehdi, MD, MEd, FACP, FASN
    Cleveland Clinic Journal of Medicine April 2024, 91 (4) 221-227; DOI: https://doi.org/10.3949/ccjm.91a.23052

    A 52-year-old woman presented with confusion and a 1-month history of drastically increased alcohol intake and mild nausea and anorexia, resulting in a 15-lb weight loss.

  • Management of lower-extremity venous thromboembolism: An updated review
    Farah Ziyadeh, MD and Yael Mauer, MD, MPH
    Cleveland Clinic Journal of Medicine April 2024, 91 (4) 229-235; DOI: https://doi.org/10.3949/ccjm.91a.22090

    A review of the 2021 updated guidelines of the American College of Chest Physicians including risk factors, supportive management, choice of anticoagulation therapy, and treatment considerations.

  • Management of venous thromboembolism in patients with active cancer
    Heloni M. Dave, MBBS and Alok A. Khorana, MD, FACP, FASCO
    Cleveland Clinic Journal of Medicine February 2024, 91 (2) 109-117; DOI: https://doi.org/10.3949/ccjm.91a.23017

    The authors review the presentation and diagnosis of venous thromboembolism in patients with cancer and present an approach to treatment that aims to balance the bleeding risk from anticoagulation with the risk of recurrent thrombosis.

  • What are the management considerations for venous thromboembolic events in patients with cirrhosis?
    Marie M. Plante, MD, BSN, RN, Emily B. Wolf, MD and Razvan M. Chirila, MD
    Cleveland Clinic Journal of Medicine February 2024, 91 (2) 86-88; DOI: https://doi.org/10.3949/ccjm.91a.23045

    The authors review the current evidence on venous thromboembolic event (VTE) risk prediction in patients with cirrhosis, as well as VTE prophylaxis and anticoagulant therapy.

  • Anchors away
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 652-653; DOI: https://doi.org/10.3949/ccjm.90b.11023

    Before you read this, I recommend that you read the interesting article in this issue by Prakash et al, part of our Symptoms to Diagnosis series.

  • Elevated aminotransferases in a 62-year-old woman
    Shahana Prakash, MD, Steven Moore, MD, PhD, Anthony Snow, MD and Kyle E. Brown, MD, FAASLD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 669-674; DOI: https://doi.org/10.3949/ccjm.90a.23011

    Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.

  • COVID-19: A management update
    Kathryn Bash, MHSc, MSN, APRN-CNP, Gretchen Sacha, PharmD, BCCCP and Mani Latifi, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 677-683; DOI: https://doi.org/10.3949/ccjm.90a.22102

    The authors examine current guidelines of the Infectious Diseases Society of America and the National Institutes of Health.

  • Masked tinea
    Ayano Hamai, MD and Yukinori Harada, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 601-602; DOI: https://doi.org/10.3949/ccjm.90a.23002

    A result of daily mask-wearing during a long hospitalization.

  • Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
    Daniel Rozenbaum, MD, Anirudh Yalamanchali, MD, MS and Deborah Hornacek, MD, FSVM
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 611-614; DOI: https://doi.org/10.3949/ccjm.90a.23018

    The authors provide recommendations on when to order imaging of the extremities in the evaluation of hospitalized patients with unexplained fever.

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