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Clinical

  • Article

    The evolution of the hospitalist

    March 30, 2022

    Dr. Ramanathan Dr. Chmelik The term hospitalist was coined in 1996 in a New England Journal of Medicine article written by Dr. Robert Wachter—often considered the father of the field. The need...

  • Article

    Learn to surf

    March 3, 2022

    Recently, three hospitalists turned what could have been a webinar focused on venting into something positive and inspirational. Sharmila Dissanaike, MD, FACS, FCCM, a hospitalist and a trauma,...

  • Article

    Characteristics of hospitalized patients whose substance use increased amid the impacts of COVID-19

    March 3, 2022

    Nearly 20 million U.S. adults experience a substance use disorder (SUD) annually,1 leading to more than 650 thousand hospital admissions.2 Large-scale crises like the COVID-19 pandemic can...

  • Article

    How to manage patients with eating disorders in the inpatient setting

    March 1, 2022

    Case Dr. Wimberly A 25-year-old female pharmacy student is brought to the emergency department by her parents after a presyncopal episode while at home for a school break. Her parents are...

  • Article

    Outpatient COVID-19 therapeutics reduce hospitalization and mortality

    February 10, 2022

    Matching the right patient to the right therapeutic at the right time In late 2021 and early 2022, the Food and Drug Administration (FDA) granted emergency use authorizations (EUAs) for the...

  • Article

    To treat or not to treat: interpreting syphilis serologies

    February 3, 2022

    Case A 32-year-old man with history of intravenous heroin use presents to the emergency department (ED) for fevers and redness with purulence over the left forearm. He is started on IV vancomycin...

  • Article

    Can I use DOAC in a patient with renal disease?

    February 3, 2022

    Case A 76-year-old man is diagnosed with non-valvular atrial fibrillation. His comorbid conditions are hypertension, diabetes complicated by neuropathy, and chronic kidney disease stage 3. His...

  • Article

    A proposed scoring system to assess COVID-19-induced coagulopathy and stratification of patients for anticoagulation therapy based on risk categories

    February 3, 2022

    Clinical question: Can a proposed new scoring system triage and assess risk in COVID-19 patients with coagulopathy? Dr. Ajala Background: COVID-19-induced coagulopathy (CIC), marked...

  • Article

    Direct oral anticoagulants may be safe in cancer-related venous thromboembolisms, but use caution with gastrointestinal malignancies

    February 3, 2022

    Clinical question: Are direct oral anticoagulants (DOACs) a suitable alternative to low molecular weight heparin (LMWH) for treatment of venous thromboembolism (VTE) in patients with underlying...

  • Article

    Breakthrough infection in COVID-19-vaccinated health care workers is associated with lower levels of neutralizing antibodies but less severe disease

    February 3, 2022

    Clinical question: How frequent are breakthrough infections in health care workers fully vaccinated against COVID-19, and how does vaccination correlate with immune response and infectivity?  ...

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