Hospital Medicine

  • Cardiac considerations in liver transplantation
    Cardiac considerations in liver transplantation
    Vikram Sharma, MD, MD(Res), Cerise Kleb, MD, Chirag Sheth, MD, Beni Rai Verma, MD, Vardhmaan Jain, MD, Ruchi Sharma, MD, MS, Parth Parikh, MD, Jacek Cywinski, MD, K. V. Narayanan Menon, MD, FAASLD, Jamak Modaresi Esfeh, MD, Bijan Eghtesad, MD, Cristiano Quintini, MD, Teresa Diago Uso, MD, Michael Z. Y. Tong, MD, Ravi Nair, MD, Ajay Bhargava, MD and Maan Fares, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 46-55; DOI: https://doi.org/10.3949/ccjm.89a.21006

    Today’s transplant patients are older and more likely to have cardiac comorbidities, and effects of advanced liver disease on the circulatory system pose challenges in perioperative management.

  • Megaloblastic anemia due to severe vitamin B12 deficiency
    Nellowe Candelario, MD and Catherine Klein, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 8-9; DOI: https://doi.org/10.3949/ccjm.89a.21041

    The 75-year-old patient presenting with altered mental status and pancytopenia had a history of peptic ulcer disease and subtotal gastrectomy.

  • Fungus among us: A poster child for diagnostic stewardship
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 541-542; DOI: https://doi.org/10.3949/ccjm.88a.21065

    When interpreting the significance of Aspergillus species in respiratory culture, first ask if the culture was clinically indicated, or if this was an incidental finding.

  • Is Aspergillus isolated from respiratory cultures clinically significant?
    Firas El-Baba, MD, Donovan Watza, PhD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 543-546; DOI: https://doi.org/10.3949/ccjm.88a.20188

    Aspergillus is ubiquitous, so the significance of the finding depends on the patient’s symptoms, underlying lung condition, immune status, and radiologic fi ndings.

  • Coronary microvascular dysfunction: Considerations for diagnosis and treatment
    Coronary microvascular dysfunction: Considerations for diagnosis and treatment
    Benita Tjoe, MD, Lili Barsky, MD, Janet Wei, MD, Bruce Samuels, MD, Babak Azarbal, MD, C. Noel Bairey Merz, MD and Chrisandra Shufelt, MD, MS
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 561-571; DOI: https://doi.org/10.3949/ccjm.88a.20140

    A review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.

  • Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit
    Jonathan Wiesen, MD, Christopher Donatelli, MD, Martin L. Smith, STD, Laurel Hyle, JD, MPH and Eduardo Mireles-Cabodevila, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 516-527; DOI: https://doi.org/10.3949/ccjm.88a.14126

    Three hypothetical cases elucidate medical, ethical, and legal considerations in common end-of-life situations encountered in the ICU.

  • Can I place a peripherally inserted central catheter in my patient with chronic kidney disease?
    Nora Hilda Hernandez Garcilazo, MD, Mohamed Hassanein, MD, Tushar J. Vachharajani, MD and Evamaria Anvari, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 431-433; DOI: https://doi.org/10.3949/ccjm.88a.20173

    Future need for permanent dialysis access is an important consideration.

  • The obesity paradox in heart failure: What is the role of cardiorespiratory fitness?
    Asad Khan, MD, Erik H. Van Iterson, PhD and Luke J. Laffin, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 449-458; DOI: https://doi.org/10.3949/ccjm.88a.20098

    What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?

  • ‘Guidelines to Practice’ series: Asthma in adults
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 365; DOI: https://doi.org/10.3949/ccjm.88b.07021

    A clinically useful summary, highlighting the practical and newer conceptual aspects of the guidelines.

  • Aspiration of a partial denture after an ischemic stroke
    Alisha Kamboj, MD, MBA, Zi Yu Liu, MD, Sharmila Price, MD and Michael Sun, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 375-376; DOI: https://doi.org/10.3949/ccjm.88a.20132

    A bedside evaluation inaccurately led to the conclusion that it was safe to advance to a dysphagia diet.

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