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An Official Publication of
  • Clinical
    • In the Literature
    • Key Clinical Questions
    • Interpreting Diagnostic Tests
    • Clinical
    • Critical Care
    • Procedures
    • COVID-19
  • Practice Management
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Nita Shrikant Kulkarni, MD

Dr. Kulkarni is an assistant professor of hospital medicine at Northwestern University in Chicago. She is editor of the Journal of Hospital Medicine POEMs.

  • News

    No Change in Duration of Mechanical Ventilation with Acetazolamide for COPD Patients with Metabolic Alkalosis

    March 1, 2016

    Clinical question: Does acetazolamide decrease the duration of mechanical ventilation for patients with chronic obstructive pulmonary disease and metabolic alkalosis? Bottom line: Although acetazolamide effectively decreased the levels of serum bicarbonate and the number of days with metabolic al

  • News

    Tamsulosin Effective as Expulsion Therapy for Distal Ureteric Stones

    March 1, 2016

    Clinical question: Is tamsulosin effective in the management of distal ureteric stones? Bottom line: Tamsulosin promotes stone passage of ureteric stones that are 5 mm to 10 mm. You would need to treat 5 patients with tamsulosin to cause the expulsion of one such stone.

  • News

    PICCs Increase Risk for Upper- and Lower-Extremity DVT

    February 2, 2016

    Clinical question: Do peripherally inserted central catheters increase the risk for upper- and lower-extremity deep venous thromboses? Bottom line: Although the association between peripherally inserted central catheters (PICCs) and upper-extremity deep venous thromboses (DVTs) was already known,

  • News

    NSAIDs Safe, Effective Option for Pleurodesis Pain

    February 2, 2016

    Clinical question: For pleurodesis, do nonsteroidal anti-inflammatory drugs and smaller chest tubes, as compared with opioids and larger tubes, provide better pain relief while maintaining efficacy of the procedure? Bottom line: Although nonsteroidal anti-inflammatory drugs (NSAIDs) are not neces

  • News

    Early Invasive Strategy for Acute Coronary Syndrome May, or May Not, Improve Outcomes

    January 8, 2016

    Clinical question: Does an early invasive strategy for acute coronary syndrome improve short-term outcomes? Bottom line: According to this real-world observational study, an early invasive strategy—coronary angiogram within 72 hours of presentation—is associated with lower risks of short-term car

  • News

    Steroids Beneficial as Adjunctive Treatment for Community-Acquired Pneumonia

    November 30, 2015

    Clinical question: Should steroids be used as adjunctive therapy for patients with community-acquired pneumonia? Bottom line: Moderate-quality to high-quality evidence suggests that steroids, when added to antibiotics and usual care, can improve outcomes in the treatment of community-acquired pne

  • News

    Functional Outcomes Better With Endovascular Thrombectomy for Acute Ischemic Stroke

    November 30, 2015

    Clinical question: Does endovascular thrombectomy improve clinical outcomes in patients presenting with acute ischemic stroke? Bottom line: High-quality evidence shows that endovascular therapy using mechanical thrombectomy for the treatment of acute ischemic stroke leads to improved functional o

  • News

    Sliding-Scale Insulin Does Not Improve Blood Glucose Control in Hospitalized Patients

    November 2, 2015

    Clinical question: Does the use of sliding-scale insulin improve blood glucose control in hospitalized patients? Bottom line: Sliding-scale insulin is commonly used to manage hyperglycemia in hospitalized patients.

  • News

    Subclavian Central Lines Have Fewer Infections, Clots; Increased Risk of Pneumothorax

    November 2, 2015

    Clinical question: Which insertion site for central venous catheterization results in fewer complications? Bottom line: Central venous catheterization via a subclavian insertion site, as compared with femoral and jugular sites, decreases the risk of bloodstream infections and symptomatic deep vei

  • News

    Coronary Computed Tomography Angiography, Radionuclide Stress Testing Similar for Evaluation of Chest Pain

    October 5, 2015

    Clinical question: Is coronary computed tomography angiography better than stress testing for detecting coronary artery disease? Bottom line: For the evaluation of chest pain in intermediate-risk patients, coronary computed tomography angiography (CCTA) is comparable with myocardial perfusion ima

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