Hospital Medicine
- Inpatient glycemic management in noncritically ill patients: Updated guidelines
The guidelines include a role for newer diabetes technologies and nontraditional insulin and noninsulin therapies.
- What is the most appropriate management of patients with acute decompensated heart failure who develop in-hospital hypotension?
The authors offer a tailored approach to risk-stratification in these patients that focuses on early recognition and management of symptomatic and clinically significant hypotension.
- Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome
The authors examine challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease and provide a diagnostic algorithm to risk-stratify these patients.
- Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence?
Beyond the initial diagnostic workup, the results of serial testing may be misleading, with the potential for adverse effects on patient care and increases in healthcare spending.
- Should urine antigen testing for Legionella pneumophila be ordered for all hospitalized patients with community-acquired pneumonia?
Testing is recommended if the pneumonia is severe, if there has been recent travel, and if there is currently an outbreak of legionnaires disease.
- Deadly drug rashes: Early recognition and multidisciplinary care
An illustrated review of 4 severe drug rashes. Early recognition and prompt withdrawal of the causative agent are crucial.