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- Hematochezia in a patient with end-stage renal disease
The patient developed gastrointestinal bleeding after being started on intravenous heparin following thrombectomy and angioplasty for acute limb ischemia.
- Pseudocellulitis, a vague term for a specific diagnostic challenge
There are infectious, vascular, and inflammatory conditions that can mimic cellulitis sufficiently to prompt admission and initial treatment with intravenous antibiotics.
- Hyperactive delirium in hospitalized older adults: Balancing medication choices and QTc prolongation risk
Medications for managing delirium symptoms, particularly antipsychotics, are associated with prolongation of the QT interval, which is a risk factor for the development of fatal arrhythmias.
- Disseminated coccidioidomycosis masquerading as bacterial cellulitis
The patient exhibited signs of sepsis along with progressive left breast erythema, induration, and pain.
- KDIGO chronic kidney disease heat map: Let the colors be your guide!
Clinicians need to adopt early interventions that can alter the course of chronic kidney disease for patients.
- Potassium-competitive acid blockers: Clinical pearls and practical insights
P-CABs provide rapid, potent, predictable acid suppression without the need for timing around meals, but their current role is focused and limited.
- When risks outweigh benefits: A review of the guideline on benzodiazepine tapering
The new joint clinical practice guideline provides a framework for deciding when tapering is appropriate and for implementing safe, patient-centered discontinuation strategies.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.