INPATIENT PROCEDURE GUIDELINES

Hospital A/P, Adults, Hospital A/P, Peds, HOSPITAL MEDICINE

PREPROCEDURE LABORATORY REQUIREMENTS AND ANTICOAGULATION MANAGEMENT (5/2016)  INPATIENT ADVANCED PROCEDURES GUIDELINES lower risk procedures higher risk procedures labs and management No pre-procedural labs unless specified below Do not hold ASA/clopidogrel (Plavix)...

Pain out of proportion to Examination

HOSPITAL MEDICINE

Sample Board Case An elderly woman in her mid-eighties comes in with acute onset abdominal pain that started after dinner. She has multiple cardiovascular risk factors and is on digoxin and a DOAC for unknown cardiac reasons. She has received multiple doses of...

Transjugular Intrahepatic PortoSystemic Shunt (TIPS)

HOSPITAL MEDICINE

see Medscape article “Indications Accepted indications for TIPS include the following: Uncontrolled variceal hemorrhage from esophageal, gastric, and intestinal varices that do not respond to endoscopic and medical management [4] Refractory ascites Hepatic...

Risk Factors For Pseudomonas Infection

HOSPITAL MEDICINE, INFECTIOUS DISEASES

A compromised immune system (eg, HIV-infected patients, solid organ or hematopoietic cell transplant recipients, neutropenic hosts, and those on immunosuppressive or immunomodulatory agents such as TNF-alfa inhibitors) Recent antibiotic use in the last 3 months....

Candida in sputum culture

HOSPITAL MEDICINE

“Microorganisms that almost never cause pneumonia include Candida species and enterococci.” Cecil Essentials of Medicine, 9th Edition, page 874 If a sputum culture grows candida, don’t treat it. It is most likely a contaminant from the oral cavity....

Staging or Grading Hepatic Encephalopathy

Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE

Stage Mental Status Asterixis EEG Stage1 Changes in behavior (euphoria/depression), mild confusion, slurred speech, disordered sleep Yes/No Usually Normal Stage 2 Lethargy, moderate confusion Yes Abnormal Stage 3 Marked confusion (stupor), incoherent speech, sleeping...