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Volume 3, Issue 2, An Issue of Hospital Medicine Clinics E-BOOK

Volume 3, Issue 2, An Issue of Hospital Medicine Clinics E-BOOK

James Newman

(2014)

Additional Information

Abstract

This online Clinics series provides evidence-based answers to clinical questions the practicing hospitalist faces daily.  The tenth issue in our growing online database, edited by James Newman, covers essential updates in the following topics: Long QT; Noninvasive ventilation; Fever of Unknown Origin; Post Bariatric Surgery; Hospital Fall Prevention; Mimics of Cellulitis; UR Essentials; Neutropenic fever; Nephrotic syndrome; and Chronic Spinal Cord Injury.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors A1
Consulting Editor A1
Editor A1
Authors A1
Contents A4
Hospital Medicine Clinics\r A7
Foreword A8
Preface A9
Noninvasive Positive Pressure Ventilation e149
Definitions e149
Indications and contraindications for NIPPV e150
Clinical application e151
Practical application e155
Performance improvement e157
Clinical guidelines e158
References e158
Fever of Unknown Origin in the Hospitalized Patient e162
Introduction e162
Definition e163
Infectious causes e164
Autoimmune disorders e166
Malignancy e167
Clinical guidelines e168
Treatment e170
Performance improvement e171
Summary e171
References e171
Late Complications of Bariatric Surgery e173
Background e173
Bariatric surgical procedures and unique complications e174
LAGB e174
Esophageal dysmotility e174
Band slippage/erosion e176
Pouch dilation e176
Port/tubing complications e176
RYGB e177
Stomal Stenosis e177
Marginal Ulcer e177
Obstruction/Internal Hernia e177
Gastrogastric Fistula e178
Hyperoxaluria e179
BPD with DS e179
Sleeve gastrectomy e179
Leak e179
Stenosis e180
Gastroesophageal Reflux e180
Complications common to bariatric surgeries e180
Dumping Syndrome e180
Gallstones e181
Nutritional complications after bariatric surgery e181
Water-Soluble Vitamins e181
Thiamine (vitamin B1) e181
Folic acid (vitamin B9) e181
Cobalamin (vitamin B12) e182
Ascorbic acid (vitamin C) e182
Fat-Soluble Vitamins e182
Vitamin A e182
Vitamin D e183
Minerals e183
Iron e183
Trace Elements e183
Copper e183
Selenium e183
Zinc e183
Summary e184
References e184
Fall Prevention in Hospitalized Patients e189
Epidemiology and impact e190
Clinical guidelines and public health policies e191
Risk assessment e192
Interventions e195
Universal Precautions e195
Multicomponent Interventions e195
Single Component Interventions e195
Performance improvement e197
Summary e198
Acknowledgments e198
References e198
Diagnosing Cellulitis for the Nondermatologist e202
Background e203
Definitions e203
Epidemiology e205
Pathogenesis and pathology e205
History and examination e206
Stasis Dermatitis e207
Lipodermatosclerosis e207
Lymphedema e208
Pretibial Myxedema e210
Erythema Migrans e210
Superficial Thrombophlebitis e212
Contact Dermatitis e212
Management e214
Performance improvement e215
Clinical guidelines e215
References e215
Neutropenic Fever e218
Definition e219
Epidemiology e219
Pathogenesis e221
Diagnosis e222
Management e224
Prevention e232
Performance improvement e232
Clinical guidelines e233
References e233
Computer-Based Early Warning System for Potentially Life-Threatening QT Prolongation e235
Key principles e236
QT prolongation in clinical practice and the Mayo Clinic’s QT alert system e237
Guidelines for clinical practice e240
Summary e243
References e243
Nephrotic Syndrome e245
Definition e245
Epidemiology e246
Diagnosis e246
Management e249
Clinical guidelines e253
References e253
Utilization Review Essentials e255
Background e256
Key principles e257
Effective Delivery of Health Care Services e257
Determining Correct Bedded Status: Inpatient, Observation, or Outpatient in a Bed e257
CMS Definitions of Bedded Status e258
Level of Care Criteria e259
Role of the Utilization Review Nurse e259
Role of the Physician Advisor e260
Resource Management e260
Principles of Health Care Payment for Hospitals e261
Hospital Denials and Appeals e262
Government payer audits e263
Ideas in practice e265
Models of Gatekeeping: Emergency Department, Clinic, and Operating Room e265
Patient and family education e266
Outlier management e266
Resolving barriers to discharge e267
Guidelines and statements e267
Unresolved questions and future directions e268
Resources e268
References e268
Care for the Rehospitalized Patient with Chronic Spinal Cord Injury e270
Introduction e270
Blood pressure topics e272
Autonomic Dysreflexia e272
Respiratory care issues e275
Skin care and pressure ulcers e276
Pain issues in SCI e277
Spasticity management e280
Neurogenic bowel care e282
Neurogenic bladder care e283
Management of the Lower Motor Neuron Bladder e284
Upper Motor Neuron Neurogenic Bladder e284
Chronic Indwelling Urinary Catheterization e285
Bone health after SCI e285
Osteoporosis e285
Heterotopic Ossification e286
Cardiovascular health, obesity, and exercise e288
Psychosocial issues e288
Summary e289
References e289
Literature Update in Hospital Medicine e293
Background/Purpose e294
Study design e294