Recommended in Hospital Medicine

  • Clinical Essentials from Ann Med
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Internal medicine wards often bode poorly for patients at highest mortality risk

Sepsis, mortality risk often greater for patients admitted to internal medicine wards vs ICU.

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  • Clinical Essentials from Open Forum Infect Dis
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Healthcare-associated pneumonia: does antimicrobial de-escalation pay off?

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  • Clinical Essentials from JACC Heart Fail
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Heart failure: 6 minutes is a long time; how about a 60-foot walk test?

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  • Clinical Essentials from Open Forum Infect Dis
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Influenza-associated pneumonia: why is oseltamivir treatment uncommon?

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  • Conference Essentials
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Patients at risk from errors in IV PCA | APS

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  • Clinical Essentials
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Differentials for respiratory viral infections recommended for diagnosis of late onset sepsis in infants

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  • Conference Essentials
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Chronic pain severe in OSA and insomnia | APS

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  • Clinical Essentials from Circulation
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Reduced HF hospitalizations with SGLT-2 inhibitors vs other glucose-lowering drugs

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  • Clinical Essentials from Pediatr Pulmonol
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Childhood asthma: high FeNO not tied to symptoms

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Professional Essentials

  • Patients Will Be Asking

How can I get my kid off juice?

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  • Patients Will Be Asking

Are my child’s seasonal allergies more insidious than they seem?

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  • US Professional News

Physician gets $5.4 million for whistleblowing

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  • US Professional News

Alabama internist dies climbing Mount Everest

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  • US Professional News

SC physicians unhappy about new volume-based compensation

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  • US Professional News

California considers limits on pharma gifts

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New in Hospital Medicine

  • Clinical Essentials from Am J Neuradiol
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Zika: neuroimaging studies first step in differential diagnosis among infants with probably congenital Zika syndrome

Congenital Zika virus syndrome presents with differing levels of severity.

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Hypothyroidism correction in chronic heart failure may improve prognosis | ECE
  • Conference Essentials
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Hypothyroidism correction in chronic heart failure may improve prognosis | ECE

Failure to correct TSH levels was associated with increased risk of all-cause death.

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  • Clinical Essentials from J Clin Virol
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Enterovirus D68 ups circulation in U.S.; heightened surveillance recommended in late Summer-early Fall

As the Summer months approach, clinicians should heighten surveillance for enterovirus D68 in children

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  • Clinical Essentials from JAMA
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COPD with persistent hypercapnia: home noninvasive ventilation boosts outcomes

Data from a phase 3 randomized study.

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  • Clinical Essentials from Urol Int
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Testicular cancer: VTE risk high during cisplatin-based chemotherapy

Khorana risk score did not accurately predict risk of VTE.

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  • Clinical Essentials from Open Forum Infect Dis
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Pneumonia and procalcitonin levels: refining outcome prediction

Largest study in North America evaluating prognostic potential of serial PCT in hospitalized patients with CAP or HCAP.

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  • Clinical Essentials from Anesth Analg
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Sepsis: more data link bundled care to lowered mortality risk

Sepsis: compliance with bundled care initiatives may reduce in-hospital mortality by 45%.

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Pain catastrophizing harms post-surgical outcomes | APS
  • Conference Essentials
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Pain catastrophizing harms post-surgical outcomes | APS

Post knee replacement pain levels measured in walking distance and stair-climbing.

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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TIA patients show no benefits from hospital admission

Current evidence is unclear on the question of hospital admission of TIA patients.

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  • Clinical Essentials from Circulation
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Intensive BP target reduces LVH rates, increases LVH regression

In hypertensive patients without diabetes, the SPRINT target looks beneficial.

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Higher opioid dose results in worse patient-reported pain outcomes | APS
  • Conference Essentials
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Higher opioid dose results in worse patient-reported pain outcomes | APS

Outcomes included greater pain intensity, worse functioning, and poorer self-efficacy for managing pain.

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  • Clinical Essentials from JAMA
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Iron supplementation not helpful for iron deficiency in HFrEF

Iron doesn’t boost exercise capacity or iron stores much in HFrEF with iron deficiency.

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  • Clinical Essentials from J Clin Lab Anal.
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TaqMan-based multiplex PCR improves rapidity of sepsis diagnosis

The ability to more rapidly quantify/diagnose sepsis with TaqMan-based PCR may translate into better outcomes.

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  • Clinical Essentials from Neurology
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Outpatient neurology: blacks, Hispanics less likely to book visits

Study uncovers racial/ethnic disparities in use of neurologist services.

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