News
Hospitalists Can Join SHM’s New ‘Fight the Resistance’ Campaign
November 4, 2015
In June, Eric Howell, MD, SFHM, SHM’s senior physician advisor, attended a White House forum on antibiotic resistance. That day, SHM committed to empowering hospitalists to fight antibiotic resistance through better prescribing behaviors. In a blog post on The Hospital Leader, Dr.
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Tips for Hospitalists on Improving Diagnostic Skills
November 4, 2015
Case A 67-year-old man presents to the hospital with persistent, subjective fevers and malaise for one month, subacute onset of dyspnea, and nonproductive cough for the preceding six days. The patient is a nonsmoker, denies sick contacts, and has had no foreign travel.
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Differences in Care, Outcomes for In-Hospital Versus Community-Onset Stroke
November 4, 2015
Clinical question: Are there any differences in care and outcomes for in-hospital versus community-onset stroke? Background: In-hospital stroke accounts for 4%-17% of all strokes. Hospitalists and other non-neurological services have to identify and treat subsequent stroke in their patients.
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Oral Steroids Not Inferior to Intravenous Steroids in Multiple Sclerosis Relapses
November 4, 2015
Clinical question: Is there any difference between oral and intravenous methylprednisolone for multiple sclerosis relapses? Background: When relapses of multiple sclerosis occur, studies have shown that intravenous steroids are the treatment of choice.
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Hospitalist David Weidig, MD, Witnessed the Field Grow During His Decades-long Career
November 4, 2015
David Weidig, MD, was there at the beginning. He was one of the first internal medicine-trained physicians to adopt hospital-based practice. He was one of the first to proudly call himself a hospitalist.
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Policy Changes Hospitalists May See in 2016
November 4, 2015
The year 2015 brought the repeal of the sustainable growth rate (SGR) and new rules for advanced care planning reimbursement.
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Can Low-Risk Patients with VTE Be Discharged from ED on Rivaroxabon?
November 4, 2015
Clinical question: Can a low-risk patient newly diagnosed with VTE in the ED be immediately discharged home on a direct factor Xa inhibitor? Background: Studies have shown that rivaroxaban incurs a risk of 2.1% in VTE recurrence and of 9.4% in clinically relevant major and non-major bleeding (in
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Coronary CT Angiography, Perfusion Imaging Effective for Evaluating Patients With Chest Pain
November 4, 2015
Clinical question: When evaluating the intermediate-risk patient with chest pain, should coronary computed tomography angiography (CCTA) be used instead of myocardial perfusion imaging (MPI)? Background: CCTA has been shown in prior randomized controlled trials to save time and money compared to
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ED Lung Ultrasound Useful for Differentiating Cardiogenic from Noncardiogenic Dyspnea
November 4, 2015
Clinical question: Is lung ultrasound a useful tool for helping to diagnose acute decompensated heart failure (ADHF)? Background: Lung ultrasound is an emerging bedside tool that has been promoted to help evaluate lung water content to help clinicians differentiate ADHF from other causes of dyspn
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When Should Hospitalists Order Continuous Cardiac Monitoring?
November 4, 2015
Case Two patients on continuous cardiac monitoring (CCM) are admitted to the hospital. One is a 56-year-old man with hemodynamically stable sepsis secondary to pneumonia. There is no sign of arrhythmia on initial evaluation.
