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Hospital Medicine

Subarachnoid hemorrhage

Hemorrhagic strokes comprise 10-15% of all strokes. Subarachnoid hemorrhage (SAH) accounts for about 50% of hemorrhagic strokes. A thunderclap headache (TCH), which is a sudden and severe headache with maximal intensity at onset is a common presenting feature of SAH. About 80% of cases of non-traumatic SAH are due to the rupture of a saccular…

Disease Management Programs: Patient Selection and Outcomes

I. Disease Management Programs: What every physician needs to know. Optimizing outcomes for patients with heart failure Disease management (DM) programs provide a systematic approach to optimizing care and outcomes for patients with heart failure (HF), the treatment of which is often complicated by one or more coexisting conditions, polypharmacy, psychosocial factors, health literacy issues,…
Infectious Diseases

Streptococcus pneumoniae

OVERVIEW: What every clinician needs to know Pathogen name and classification Streptococcus pneumoniae What is the best treatment? Otitis media For treatment of otitis media in children, amoxicillin, 30mg/kg, three times daily, is recommended, based on the following reasoning: Continue Reading S. pneumoniae is the most common identifiable cause of otitis and the one associated…
Hospital Medicine

Henoch-Schönlein purpura (IgA Vasculitis)

I. What every physician needs to know. Background Henoch Schönlein Purpura (HSP) is the most common small vessel vasculitis seen in children. Though it affects children predominately, 10-28% of patients with HSP are adults. The disease has also been called Schönlein-Henoch purpura, anaphylactoid purpura and purpura rheumatica. Continue Reading The 2012 International Chapel Hill Consensus…

Risk Stratification of the ACS Patient in the Emergency Department and Initial Medical Therapy

I. Acute Coronary Syndrome: What every physician needs to know Heart disease, which includes acute coronary syndromes (ACS), is the leading cause of death in the United States. Chest pain is a common complaint in patients at primary care offices, emergency departments, and inpatient medical services. However, the majority of patients with chest pain will…

ORIF of ankle fracture

What the Anesthesiologist Should Know before the Operative Procedure The anesthesiologist should know the patient’s medical conditions (including additional injuries for patients who have a high-energy mechanism of injury) as well as the surgical plan. 1. What is the urgency of the surgery? What is the risk of delay in order to obtain additional preoperative…

Anal Operations

What the Anesthesiologist Should Know before the Operative Procedure Anorectal disorders affect about 4% to 5% of the adult population. The majority of anorectal conditions are treated surgically only if symptoms persist after a trial of conservative therapy. If patient selection and intraoperative and postoperative care are appropriate, most anal procedures can be performed on…
CME/CE Features

A practical guide to 
metabolic syndrome

With obesity on the rise, more patients are at risk for metabolic 
syndrome, a diagnosis given to a set of simultaneous disorders.
Hospital Infection Control

Rehabilitation services

How do rehabilitation services impact infection control? Gastrointestinal: Rehabilitation Services contribute guidelines related to the treatment of infectious diseases in unique patient populations, namely individuals with neurogenic bowels from upper or lower motor neuron disorders (e.g., spinal cord injury, brain injury or disease, multiple sclerosis, cerebral palsy, stroke, peripheral neuropathy, Parkinson’s disease). Pulmonary: Rehabilitation Services…
Infectious Diseases

Disseminated fungal infection

OVERVIEW: What every practitioner needs to know Are you sure your patient has a disseminated fungal infection? What should you expect to find? Key symptoms of the disease Blastomycosis: (Figure 1) Cutaneous findings should raise suspicion for disseminated disease. Growing lesion(s), may complain of oozing from the lesion(s) Pulmonary symptoms (primary site of infection): greater…
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