Article
Weighing Benefits and Risks of Indefinite Anticoagulation in First Unprovoked VTE
October 2, 2023
Clinical question: Is indefinite anticoagulation beneficial for patients with a first unprovoked venous thromboembolism (VTE) after initial treatment? Dr. Sheikh Background: VTE is a chronic,...
Article
Pitavastatin and Cardiovascular Disease Prevention in HIV Patients
October 2, 2023
Clinical question: Does pitavastatin reduce the risk of cardiovascular disease in human immunodeficiency virus (HIV)-infected individuals? Dr. Sheikh Background: Individuals with HIV infection...
Article
No Difference Between Liberal Versus Strict Perioperative BP Management in Non-cardiac Surgery
October 2, 2023
Clinical question: In patients on antihypertensive medications (AHMs) such as angiotensin-converting-enzyme inhibitors (ACE-Is) or angiotensin receptor blockers (ARBs) undergoing inpatient...
Article
DAPT Non-inferior to Alteplase for Minor AIS
October 2, 2023
Clinical question: Is dual antiplatelet therapy (DAPT) non-inferior to intravenous (IV) thrombolysis in patients with minor non-disabling acute ischemic strokes (AIS)? Dr....
Article
Intensive BP Control with PO or IV Harmful in Hospitalized Older Adults
October 2, 2023
Clinical question: How do clinical outcomes compare between patients with asymptomatic hypertension treated intensively versus not while hospitalized? Dr. Richardson Background: While the...
Article
Delayed Antibiotics in Suspected Sepsis Increase Shock Risk and Mortality
October 2, 2023
Clinical question: Does the time to first antibiotics affect the risk of progression to septic shock? Dr. Richardson Background: The Surviving Sepsis Campaign emphasized early infection...
Article
Onco-Hospitalists Bring Value to Patient Care
October 2, 2023
Most working hospitalists will see cancer patients regularly on their hospital rounds since it’s the main underlying condition for many hospital admissions—whether for the disease itself, side...
Article
Best Approach to a Cavitary Lung Lesion–Update
October 2, 2023
This is an update of our 2015 article on cavitary lung lesion.1 Case A 60-year-old man with alcohol use disorder presented to the hospital with fatigue, chest pain, and productive cough for two...
Article
Bedside Rounding—Pros, Cons, and Tips for Success
October 2, 2023
Bedside rounding, a practice dating back more than a century, is not uniformly implemented. Many physicians are unsure of its effectiveness in improving patient care and teaching learners, and it...
Article
Lessons from a Med-Psych Unit
October 2, 2023
In 2019, I accepted a position at the University of Rochester’s Strong Memorial Hospital in Rochester, N.Y. I knew this wouldn’t be bread-and-butter hospital medicine, but rather a unique...