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 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


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

Journal of cardiac failure, 2021 Oct

JAMA, 1989 Feb 10