General Hospital Medicine
Questions discussed in this category
For example, do you consider "cautious" IV fluids or otherwise consider early vasopressors?
For example, do you routinely supplement with calcium carbonate, magnesium hydroxide, aluminum hydroxide, simethicone, sucralfate, etc.?
Assume QTc is not prolonged, electrolytes are reasonably normal, and the patient is not already on heavy psychotropic polypharmacy.
Do you use the traditional strict limit of 1.5 L, or do you consider removing more volume if a patient appears to tolerate it?
For example, would you consider alternatives to paracentesis (Denver shunt placement, CART therapy, or permanent tunneled catheters) that might better...
For example, do you find trending WBC, procalcitonin, CRP, etc., more or less helpful?
For example, do you think the benefits of sequential compression devices outweigh the risk of falls, delirium, etc.?
In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...
O'Toole et al., PMID 36652352
Should we consider this as a unique point during goal of care discussions, separate from code status, comfort measures only, etc.?
Do you extend the course of fidaxomicin past initial 10 days to at least 3-7 days after completion of antibiotics?
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Papers discussed in this category
Microbes and infection, 2024 May 06
The New England journal of medicine, 2023 Jan 19
JAMA, 2022 Aug 23
Critical care medicine, 2017-12
Journal of palliative medicine, 2012-02
Journal of the American Medical Directors Association, 2022 Mar 23
Palliative medicine, 2022 Jul
Annals of emergency medicine, 2006-01
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2019-01
Neurology. Clinical practice, 2020 Aug
Cureus, 2020 Nov 18
European journal of endocrinology, 2023 Aug 02
Journal of the American College of Radiology : JACR, 2024 Jun
AJR. American journal of roentgenology, 2010-02
The American journal of medicine, 1991 Aug 08
Gut, 1990 Jul
Journal of cardiac failure, 2021 Oct
JAMA, 1989 Feb 10