General Hospital Medicine
Questions discussed in this category
For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...
Given the unprovoked nature, do you favor indefinite anticoagulation? Would a presentation with bilateral distal DVTs or other concerns for thrombophi...
Are there situations in which you still feel comfortable giving IV iron? If not, do you consider PO iron?
If they have been on IV heparin for 3 days, for example, would you subtract those days from the recommended loading dose time?
How do you reconcile the potential risks and benefits of IV fluids in this patient population? Do you have a preferred type of fluid, as was suggested...
Do you prefer anticoagulation? Is there a role for aspirin? How strongly do you recommend line removal?
How do factors like the presence of varices, severity of coagulopathy, etc., play into your decision?
Particularly with prolonged hospitalizations, do you have any concerns about exposing patients to bleeding risks associated with "triple therapy" even...
How do you decide between simple transfusion and red cell exchange?While the 2020 ASH Guidelines provide some conditional guidance on transfusion supp...
Are there situations in which you would continue the possible offending agent with close monitoring?
Would you be comfortable with the use of DOACs?
Do you use prophylaxis universally or based on risk scores?
Primary care providers often check iron studies during workup for fatigue, even if anemia is not present.
Such as a patient who cannot tolerate oral iron and has had a anaphylaxis to intravenous iron
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Papers discussed in this category
European journal of pharmacology, 2006 Dec 12
American journal of hematology, 2024 Jan 29
Blood Adv, 2020 Jan 28
Annals of internal medicine, 2021 Nov 23
Journal of thrombosis and haemostasis : JTH, 2010 Nov
Journal of thrombosis and haemostasis : JTH, 2022 Aug 10
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2024 Jun 12
American family physician, 2022 Sep
Journal of the American College of Cardiology, 2024 Jun 25
JAMA, 2025 Sep 15
JAMA, 2020 Nov 03
BMJ (Clinical research ed.), 2022 Nov 23