Article
When Should I Transfuse My Adult Hospitalized Patient Who Has Anemia?
December 2, 2024
Update to the 2017 article When should I transfuse a patient who has anemia? Case An 82-year-old woman with chronic lymphocytic leukemia complicated by anemia of chronic disease (baseline...
Article
What is the Best Initial Management of a Pressure Injury?
June 3, 2024
Case A 74-year-old frail man with diabetes mellitus, hypertension, and chronic kidney disease is admitted for severe community-acquired pneumonia. On hospital day four, the nurse reports a new...
Article
Can Pentoxifylline Improve Healing of Lower Extremity Ulcers?
May 1, 2024
Case The patient, Mr. D, has been experiencing swelling in his legs for several years, and seven months prior, he noticed that his skin had started to develop ulcers. He has class 3 obesity, type 2...
Article
Which Non-opioid Medications are Best for Symptom Management in OWS?
April 1, 2024
Case A 30-year-old woman with a history of opioid use disorder (OUD) presents to the hospital with a fever and is found to have Staphylococcus aureus bacteremia. Soon after admission, she developed...
Article
Bridging the Gap: How Do You Interpret an Osmolal Gap?
November 1, 2023
Case A 53-year-old man with chronic kidney disease on hemodialysis presented with abdominal pain, nausea, and vomiting. He drinks three to 12 beers daily and denied ingestion of toxic alcohol. Labs...
Article
What are Common Pitfalls in Measuring the QTc in Hospitalized Adult Patients?
August 1, 2023
Case Ms. S. is a 60-year-old woman admitted with gastroenteritis and hypovolemia in the setting of three days of nausea and diarrhea. She was also found to have atrial fibrillation with rapid...
Article
To Anticoagulate or Not? The Ongoing Dilemma Among CAA Patients
April 3, 2023
Case A 93-year-old female with dementia and cerebral amyloid angiopathy (CAA) presented after a mechanical fall. She was on apixaban for a deep vein thrombosis (DVT) from three months prior, which...
Article
How Does Thiamine Deficiency Result in an Elevated Lactate?
February 1, 2023
Case A 50-year-old male with a medical history of severe alcohol use disorder and type 2 diabetes mellitus presented to the emergency department with shortness of breath and dry cough. Initial...
Article
Should You Feed Patients Admitted for IBD Flares?
January 3, 2023
Case: A 26-year-old woman with a history of poorly controlled Crohn’s Disease (CD) presents to the emergency department (ED) with complaints of progressively worsening diarrhea for the past two...
Article
Cephalosporins: How Vital Are They in a Hospitalist’s Toolkit?
December 1, 2022
Case A 57-year-old female with a history of hypertension and diabetes mellitus presented to the emergency department with complaints of chills, fever, and productive cough progressively worsening...