Hospital Medicine

General Internal Medicine   

Questions discussed in this category



Assume QTc is not prolonged, electrolytes are reasonably normal, and the patient is not already on heavy psychotropic polypharmacy.

Do you find them more helpful as predictors of perioperative risk or as a baseline to detect post-operative adverse cardiac events?

What additional assessments and considerations would you suggest to comprehensively evaluate the underlying cause of the rhythm disturbance and ensure...

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...

Would you extend length of time for anticoagulation if the apex remained akinetic on surveillance TTEs? 

In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...


Papers discussed in this category


European journal of pharmacology, 2006 Dec 12

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 New England journal of medicine, 2023 Aug 17

Thorax, 2009 Oct

Journal of cardiac failure, 2021 Oct

JAMA, 1989 Feb 10

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018 Aug 01

Circulation, 2021 Oct 04

Circulation, 2024 Sep 24

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2020 Dec 02

Journal of general internal medicine, 2019 Aug 06