General Hospital Medicine   

How do you consider variable international guidance? Do different factors guide you towards one regimen vs another?

Especially if Watchman is an option, which would still require temporary anticoagulation post-procedure.

Leem et al., PMID 37713527Smith et al., PMID 40961256

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

Do you prescribe it universally or based on specific risk factors?

Rogers & Rice, PMID 38018162

How do you monitor for prolonged QTc in this situation (i.e., telemetry, serial EKGs, etc.)?

What if there is persistent acute ileitis on repeat colonoscopy in 6 to 12 months? Do you consider budesonide, prednisone, and/or biologics?

If the patient does not have underlying diabetes, do the benefits of an insulin drip for this indication outweigh the risks?

What do you start initially, and how do you go about escalating the regimen if constipation persists?

Do you commonly use prognostic tools such as PRESS to aid in your decision?

What are your next diagnostic steps/tests?

Do you extend the course of fidaxomicin past initial 10 days to at least 3-7 days after completion of antibiotics?

For example, do you routinely supplement with calcium carbonate, magnesium hydroxide, aluminum hydroxide, simethicone, sucralfate, etc.?